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Individual

SHARON DICRISTOFARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11317 LAKE UNDERHILL RD STE 600, ORLANDO, FL 32825-4453
(407) 641-0426
(407) 641-0427
Mailing address
2600 WESTHALL LN, MAITLAND, FL 32751-7102
(407) 200-2700

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20510
WV
208000000X
Pediatrics Physician
Primary
ME 128902
FL
208000000X
Pediatrics Physician
ME128902
FL
208D00000X
General Practice Physician
ME128902
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018009400
FL
05
1807299000
WV
Enumeration date
06/09/2005
Last updated
02/13/2025
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