Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME0073955 | FL |
Y | 111NI0900X | Internist | ME0073955 | FL |
NPI | 1003803156 |
---|---|
Provider Name | Prixit Sharma |
First Address | Avon Park, FL 33825-2928 |
Second Address | Avon Park, FL 33825-2928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 14/06/2013 |