Provider Demographics
NPI:1639517691
Name:DEJOY, SHARON (PHD MPH CPH CPM)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:DEJOY
Suffix:
Gender:F
Credentials:PHD MPH CPH CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5810 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-2639
Mailing Address - Country:US
Mailing Address - Phone:305-586-9636
Mailing Address - Fax:
Practice Address - Street 1:5810 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-2639
Practice Address - Country:US
Practice Address - Phone:305-586-9636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL212176B00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No176B00000XOther Service ProvidersMidwife