MEDICARE: DR. SHARON ANGELA DILLON 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
1	208000000X	Pediatrics Physician	ME 63734	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4645402	OTHER	FL	AETNA PPO/POS
2	204827	OTHER	FL	WELLCARE
3	238868	OTHER	FL	AMERIGROUP
4	0919594	OTHER	FL	AETNA HMO
5	25897	OTHER	FL	BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558311282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON ANGELA DILLON M.D.

Provider Business Mailing Address
First Line	:	3150 N WICKHAM RD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-2322
Country	:	US
Telephone Number	:	321-242-3227
Fax Number	:	321-242-3227

Provider Business Practice Location Address
First Line	:	3150 N WICKHAM RD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-2322
Country	:	US
Telephone Number	:	321-242-3227
Fax Number	:	321-242-3227

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	09/01/2020

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Directions to “ DR. SHARON ANGELA DILLON M.D.” Practice Location

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