Individual
EKTA SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2866 E OAKLAND PARK BLVD STE 2, FORT LAUDERDALE, FL 33306-1819
(954) 462-8323
(954) 463-1149
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 462-8323
(954) 463-1149
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
UO4570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UO4570
—
FL
Enumeration date
10/13/2017
Last updated
06/13/2019
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