SHARON M DICRISTOFARO (NPI# 1316941289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316941289 |
| Entity Type | Individual |
| Full Name | SHARON M DICRISTOFARO |
| Credential | MD |
| Practice Address |
7455 Pinemire Dr Oviedo FL 32765-6094 |
| Mailing Address |
10140 Centurion Pkwy N Jacksonville FL 32256-0532 |
| Practice Telephone | 4075421733 |
| Practice Fax Number | 4075421740 |
| Mailing Telephone | 9046974127 |
| Mailing Fax Number | 9046975102 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2018-03-17 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME 128902 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 20510 | WV | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | ME128902 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018009400 | 05 | |
| WV | 1807299000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1651 N Semoran Blvd, Ste 11, Orlando, FL 328073575 | 4072491234 | 4072491755 |
| Street Address |
7455 PINEMIRE DR |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-6094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215957 | Allison Leasure | Nurse Practitioner | 7455 Pinemire Dr, Oviedo, FL 32765-6094 | 2016-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841542503 | Edgar B George | General Practice | 7250 Red Bug Lake Rd Ste 1008, Oviedo, FL 32765-9290 | 2012-10-04 |
| 1932686003 | Dr Guillermo Mendoza - Int Med - LLC | General Practice | 2572 W State Road 426 Ste 3040, Oviedo, FL 32765-8389 | 2018-07-23 |
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| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.