Provider Demographics
NPI:1114939709
Name:STOKES, SHARON A (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:A
Last Name:STOKES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3276 GREENWALD WAY N
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-0728
Mailing Address - Country:US
Mailing Address - Phone:407-944-0999
Mailing Address - Fax:407-935-0691
Practice Address - Street 1:3276 GREENWALD WAY N
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-0728
Practice Address - Country:US
Practice Address - Phone:407-944-0999
Practice Address - Fax:407-935-0691
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77654207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL593732799OtherFEDERAL TAX ID #
FLK9660OtherGROUP MEDICARE #
FL256060700Medicaid
FL593732799OtherFEDERAL TAX ID #
FLK9660OtherGROUP MEDICARE #