Provider Demographics
NPI:1710173661
Name:SHARON A. STOKES MD PA
Entity Type:Organization
Organization Name:SHARON A. STOKES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-944-0999
Mailing Address - Street 1:3276 GREENWALD WAY N
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-0728
Mailing Address - Country:US
Mailing Address - Phone:407-944-0999
Mailing Address - Fax:407-935-0691
Practice Address - Street 1:3276 GREENWALD WAY N
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-0728
Practice Address - Country:US
Practice Address - Phone:407-944-0999
Practice Address - Fax:407-935-0691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77654207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS87134OtherUPIN
FLG91555OtherUPIN
FL46202YOtherMEDICARE INDIVIDUAL #
FLE2888WOtherMEDICARE INDIVIDUAL #
FL46202YOtherMEDICARE INDIVIDUAL #