Individual
DR. SHARON POWELL NAZEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE, FL 32207-8426
(904) 697-3694
(904) 697-3927
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
002116
NY
231H00000X
Audiologist
Primary
AY1610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
11/01/2006
Last updated
09/15/2011
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