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Individual

DR. ELAINE C SHARP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1395 EL RITO DR, GULF BREEZE, FL 32563-6707
(850) 733-9343
(850) 733-9446
Mailing address
1395 EL RITO DR, GULF BREEZE, FL 32563-6707
(850) 733-9343
(850) 733-9446

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036107352
IL
207V00000X
Obstetrics & Gynecology Physician
55013
FL
207VG0400X
Gynecology Physician
Primary
ME55013
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010815000
FL
Enumeration date
08/09/2005
Last updated
10/05/2020
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