Provider Demographics
NPI:1457854325
Name:ENOS, SHARON C (ARNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:C
Last Name:ENOS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:C
Other - Last Name:ENOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:13740 OFFICE PARK CT STE A
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-7145
Mailing Address - Country:US
Mailing Address - Phone:727-781-6700
Mailing Address - Fax:
Practice Address - Street 1:13740 OFFICE PARK CT STE A
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-7145
Practice Address - Country:US
Practice Address - Phone:727-781-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2997251363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care