Individual
GRACE LESLEY CAMILE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3319 STATE ROAD 7, SUITE 313, WELLINGTON, FL 33449
(561) 433-4444
Mailing address
5601 N DIXIE HWY STE 209, OAKLAND PARK, FL 33334-4145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9108718
FL
Other
Enumeration date
05/27/2015
Last updated
02/15/2018
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