Individual
MIRAND REEB SHARMA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40100 HIGHWAY 27, DAVENPORT, FL 33837
(863) 422-4971
Mailing address
8390 CHAMPIONS GATE BOULEVARD, SUITE 306, CHAMPIONS GATE, FL 33896
(407) 390-1677
(407) 390-1765
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME82852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03206
BCBS
FL
05
—
262413300
—
FL
01
—
78623502
TRICARE
FL
Enumeration date
03/09/2006
Last updated
07/08/2007
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