MEDICARE: JASON SHARMETT

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	164W00000X	Licensed Practical Nurse	PN5189348	FL

General Provider Information

NPI Number	:	1598013195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON SHARMETT

Provider Business Mailing Address
First Line	:	11031 N.E. 6TH AVE.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33161-7182
Country	:	US
Telephone Number	:	305-398-6100
Fax Number	:	305-757-4465

Provider Business Practice Location Address
First Line	:	3850 W. FLAGLER ST.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33134-1604
Country	:	US
Telephone Number	:	305-774-3334
Fax Number	:	305-475-2650

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

Provider Enumeration Date	:	08/29/2012
Last Update Date	:	08/29/2012

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Directions to “ JASON SHARMETT ” Practice Location

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