Doctor Name: | ROBERT ANTHONY SHARP |
NPI Number: | 1447561964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | PENDING |
Business Practice Address: | 163 Rosewood Ave Ormond Beach, FL - 321745524 |
Business Phone Number: | 3866711052 |
Business Fax Number: | |
Mailing Address: | 163 Rosewood Ave, ORMOND BEACH |
State: | FL |
Postal Code: | 321745524 |
Phone Number: | 3866711052 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2010 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | PENDING |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |