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Individual

SHARON DAILY EVERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2900 W PROSPECT RD, FORT LAUDERDALE, FL 33309
(954) 731-5100
Mailing address
4740 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
(954) 497-3857

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME82466
FL
2084P0800X
Psychiatry Physician
Primary
ME82446
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262736100
FL
Enumeration date
02/24/2007
Last updated
07/21/2022
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