# KAVITA SHARMA, D.O., PL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598096778
- **Authorized official:** KAVITA SHARMA D.O. (OWNER)
- **Authorized official phone:** (201) 306-0594

## Contact information

- **Practice address:** 1671 N CLYDE MORRIS BLVD, STE 100, DAYTONA BEACH, FL 32117-5590
- **Practice address phone:** (386) 274-2977
- **Practice address fax:** (386) 274-2966
- **Mailing address:** 1551 CROWNE VIEW DR, \# 818, ORMOND BEACH, FL 32174-0654
- **Mailing address phone:** (201) 306-0594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | OS10120 | FL | Yes |

## Other

- **Enumeration date:** 01/27/2010
- **Last updated:** 01/27/2010