MEDICARE: DR. SHARLENE J LLANES 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	207K00000X	Allergy & Immunology Physician	ME82049	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	58786Z	OTHER	FL	MEDICARE
3	58786Y	OTHER	FL	MEDICARE

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
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992756548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARLENE J LLANES M.D.

Provider Business Mailing Address
First Line	:	1250 S TAMIAMI TRL STE 302
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-2221
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 S TAMIAMI TRL STE 302
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-2221
Country	:	US
Telephone Number	:	941-366-9711
Fax Number	:

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	04/04/2024

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Directions to “ DR. SHARLENE J LLANES M.D.” Practice Location

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