MEDICARE: SHARON GERSON ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	1293882	FL

General Provider Information

NPI Number	:	1154369940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON GERSON ARNP

Provider Business Mailing Address
First Line	:	841 BAY POINT DR
Second Line	:
City	:	MADEIRA BEACH
State	:	FL
Zip	:	33708-2316
Country	:	US
Telephone Number	:	727-391-8429
Fax Number	:

Provider Business Practice Location Address
First Line	:	841 BAY POINT DR
Second Line	:
City	:	MADEIRA BEACH
State	:	FL
Zip	:	33708-2316
Country	:	US
Telephone Number	:	727-391-8429
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	07/08/2007

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