Provider Demographics
NPI:1043818339
Name:SEAN L. SHARP, D.C., P.A.
Entity Type:Organization
Organization Name:SEAN L. SHARP, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-596-4878
Mailing Address - Street 1:9011 PARK BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33777-4123
Mailing Address - Country:US
Mailing Address - Phone:727-596-4878
Mailing Address - Fax:727-213-6701
Practice Address - Street 1:9011 PARK BLVD STE 209
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33777-4123
Practice Address - Country:US
Practice Address - Phone:727-596-4878
Practice Address - Fax:727-213-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty