Provider Demographics
NPI:1689843260
Name:SHARPE, STEVEN D (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:SHARPE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3206 S HOPKINS AVE
Mailing Address - Street 2:SUITE 19
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-5667
Mailing Address - Country:US
Mailing Address - Phone:321-267-0188
Mailing Address - Fax:321-267-0611
Practice Address - Street 1:8043 SPYGLASS HILL RD
Practice Address - Street 2:
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940-8563
Practice Address - Country:US
Practice Address - Phone:321-267-0188
Practice Address - Fax:321-267-0611
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9536111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor