Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 0104557107 | VA |
Y | 111N00000X | Chiropractor | 10937 | FL |
NPI | 1003258963 |
---|---|
Provider Name | Dr. Rozana Ali Sharma |
First Address | Melbourne, FL 32940-7557 |
Second Address | Melbourne, FL 32940-7557 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2013 |
Last Update Date | 17/01/2019 |