MEDICARE: SHARA LYNN WHITAKER RNFA

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	163WR0006X	Registered Nurse First Assistant	RN9423409	FL

General Provider Information

NPI Number	:	1356298012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARA LYNN WHITAKER RNFA

Provider Business Mailing Address
First Line	:	5156 N CORALWOOD TER
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-2901
Country	:	US
Telephone Number	:	352-476-8011
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 TAMPA GENERAL CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3571
Country	:	US
Telephone Number	:	813-844-7000
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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