Individual
DR. SHARON FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1542 KINGSLEY AVE, SUITE 137, ORANGE PARK, FL 32073-4586
(904) 540-5120
(904) 284-1624
Mailing address
1542 KINGSLEY AVE, ORANGE PARK, FL 32073-4586
(904) 540-5120
(904) 284-1624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 12315
FL
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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