| Ashley K Sharma, Md, Pa | |
|
33049 Professional Dr Ste 101 Leesburg FL 34788-3705 | |
| (352) 787-9600 | |
| (352) 787-8640 |
| Full Name | Ashley K Sharma, Md, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 33049 Professional Dr, Leesburg, Florida |
| Authorized Official Name and Position | Ashok Sharma (OWNER) |
| Authorized Official Contact | 3527879600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley K Sharma, Md, Pa 33049 Professional Dr Ste 101 Leesburg FL 34788-3705 Ph: (352) 787-9600 | Ashley K Sharma, Md, Pa 33049 Professional Dr Ste 101 Leesburg FL 34788-3705 Ph: (352) 787-9600 |
| NPI Number | 1194115980 |
|---|---|
| Provider Enumeration Date | 01/31/2015 |
| Last Update Date | 01/31/2015 |
| Medicare PECOS PAC ID | 4082965157 |
|---|---|
| Medicare Enrollment ID | O20180928002148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194115980 | NPI | - | NPPES |
| 42724 | Other | FL | BCBS FLORIDA PROVIDER NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME73557 (Florida) | Primary |
| Provider Name | Ashok K Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740201136 PECOS PAC ID: 9032244579 Enrollment ID: I20100323000149 |
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