Individual
NITIN SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 DON WICKHAM DR STE 130, CLERMONT, FL 34711-1978
(352) 536-8761
(321) 841-2120
Mailing address
1920 DON WICKHAM DR STE 130, CLERMONT, FL 34711-1978
(352) 536-8761
(321) 841-2120
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036145903
IL
208800000X
Urology Physician
93074
SC
208800000X
Urology Physician
Primary
ME168701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123008500
—
FL
01
—
IZ915Z
MEDICARE
FL
Enumeration date
04/21/2011
Last updated
09/11/2024
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