Individual
SWATI SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
655 W 8TH ST FL 2, JACKSONVILLE, FL 32209-6511
(904) 244-4225
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME109019
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME109019
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109726A
—
GA
05
—
003630700
—
FL
01
—
14CX2
BCBSFL
FL
01
—
O9732
FL MEDICARE
FL
Enumeration date
07/21/2008
Last updated
02/27/2023
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