Provider Demographics
NPI:1013187939
Name:MANISH SHARMA DO PLLC
Entity Type:Organization
Organization Name:MANISH SHARMA DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-380-9557
Mailing Address - Street 1:PO BOX 7724
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-0113
Mailing Address - Country:US
Mailing Address - Phone:813-380-9557
Mailing Address - Fax:
Practice Address - Street 1:27417 SILVER THATCH DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7323
Practice Address - Country:US
Practice Address - Phone:813-274-2699
Practice Address - Fax:813-435-2289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9680208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAI946Medicare PIN
FLH08649Medicare UPIN