Individual
BRET LESLIE SHARF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1625 SE 3RD AVE STE 300, FORT LAUDERDALE, FL 33316-2521
(954) 355-5001
(954) 355-4881
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 355-5001
(954) 355-4881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PA 9104704
FL
363A00000X
Physician Assistant
Primary
PA9104704
FL
363AM0700X
Medical Physician Assistant
PA9104704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CV3624
MEDICARE PTAN
FL
Enumeration date
12/28/2009
Last updated
04/03/2024
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