Provider Demographics
NPI:1558647669
Name:SHARPE, KARINA LISSETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:KARINA
Middle Name:LISSETTE
Last Name:SHARPE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4651 N STATE ROAD 7
Mailing Address - Street 2:SUITE 9
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4378
Mailing Address - Country:US
Mailing Address - Phone:305-360-0274
Mailing Address - Fax:
Practice Address - Street 1:4651 N STATE ROAD 7
Practice Address - Street 2:SUITE 9
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4378
Practice Address - Country:US
Practice Address - Phone:305-360-0274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10453111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor