Individual
DR. SMITA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1024
(904) 244-8827
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-3660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD421461
PA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
ME104889
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME104889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001582000
—
FL
05
—
003150998A
—
GA
05
—
101237733
—
PA
Enumeration date
02/22/2006
Last updated
07/08/2016
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