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NPI Code Detail

MEDICARE: CLIFFORD NEIL SHARE M.D.

MEDICARE:   CLIFFORD NEIL SHARE  M.D.
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
1207W00000XOphthalmology PhysicianME 0031647FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427052331
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLIFFORD NEIL SHARE M.D.
Provider Business Mailing Address
First Line : 741 DUNLAWTON AVE
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-9226
Country : US
Telephone Number : 386-761-6665
Fax Number : 386-760-2369
Provider Business Practice Location Address
First Line : 741 DUNLAWTON AVE
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-9226
Country : US
Telephone Number : 386-761-6665
Fax Number : 386-760-2369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 03/24/2010

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Directions to “ CLIFFORD NEIL SHARE M.D.” Practice Location

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