Provider Demographics
NPI:1003803156
Name:SHARMA, PRIXIT (MD)
Entity Type:Individual
Prefix:
First Name:PRIXIT
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 W CIRCLE ST
Mailing Address - Street 2:
Mailing Address - City:AVON PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33825-2928
Mailing Address - Country:US
Mailing Address - Phone:863-453-5500
Mailing Address - Fax:863-453-5566
Practice Address - Street 1:1005 W CIRCLE ST
Practice Address - Street 2:
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825-2928
Practice Address - Country:US
Practice Address - Phone:863-453-5500
Practice Address - Fax:863-453-5566
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0073955207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine