Provider Demographics
NPI:1033171814
Name:SOBOTIK, SHARON LYNN (RN)
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:LYNN
Last Name:SOBOTIK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2418 ROSEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-8712
Mailing Address - Country:US
Mailing Address - Phone:262-893-0864
Mailing Address - Fax:
Practice Address - Street 1:2418 ROSEHAVEN DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-8712
Practice Address - Country:US
Practice Address - Phone:262-893-0864
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse