Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | UO6376 | FL |
Y | 2084N0402X | Child Neurologist | UO6376 | FL |
NPI | 1225599954 |
---|---|
Provider Name | Dr. Priya Sharma |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224-1865 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2019 |
Last Update Date | 15/06/2021 |