MEDICARE: SHARON PEARCY

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	363LP2300X	Primary Care Nurse Practitioner	9286814	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1588103931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON PEARCY

Provider Business Mailing Address
First Line	:	185 WATERFALL WAY
Second Line	:	UNIT 101
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-6860
Country	:	US
Telephone Number	:	203-988-7072
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 WATERFALL WAY
Second Line	:	UNIT 101
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-6860
Country	:	US
Telephone Number	:	203-988-7072
Fax Number	:

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

Provider Enumeration Date	:	02/17/2017
Last Update Date	:	02/17/2017

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Directions to “ SHARON PEARCY ” Practice Location

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