Individual
MS. GLORIA JEAN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
455 PINELLAS ST STE 320, CLEARWATER, FL 33756-3369
(727) 446-2273
(727) 441-4966
Mailing address
455 PINELLAS ST STE 320, CLEARWATER, FL 33756-3369
(727) 446-2273
(727) 447-5972
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9101473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122308
HUMANA
FL
01
—
21666
BCBS
FL
05
—
292759400
—
FL
01
—
Y00N2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/04/2007
Last updated
05/16/2023
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