MEDICARE: DR. LORELLI SHARON SITAHAL MD

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	173000000X	Legal Medicine	ME88501	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	:	1598788937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORELLI SHARON SITAHAL MD

Provider Business Mailing Address
First Line	:	200 CONGRESS PARK DR STE 210
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4688
Country	:	US
Telephone Number	:	561-279-0991
Fax Number	:	561-279-0539

Provider Business Practice Location Address
First Line	:	200 CONGRESS PARK DR STE 210
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4688
Country	:	US
Telephone Number	:	561-279-0991
Fax Number	:	561-279-0539

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	01/10/2018

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