Provider Demographics
NPI:1235317462
Name:CERNIGLIA, SHARIN LEE (AP, L AC)
Entity Type:Individual
Prefix:
First Name:SHARIN
Middle Name:LEE
Last Name:CERNIGLIA
Suffix:
Gender:F
Credentials:AP, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34911 US19 N
Mailing Address - Street 2:STE. 612
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684
Mailing Address - Country:US
Mailing Address - Phone:727-599-8785
Mailing Address - Fax:
Practice Address - Street 1:34911 US19 N
Practice Address - Street 2:STE. 612
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684
Practice Address - Country:US
Practice Address - Phone:727-599-8785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2517171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist