Provider Demographics
NPI:1790273738
Name:SHARMA INSTITUTE OF PAIN MEDICINE
Entity Type:Organization
Organization Name:SHARMA INSTITUTE OF PAIN MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANUJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-598-9051
Mailing Address - Street 1:PO BOX 770573
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34477
Mailing Address - Country:US
Mailing Address - Phone:866-288-5450
Mailing Address - Fax:866-509-3414
Practice Address - Street 1:3221 SW 33RD ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474
Practice Address - Country:US
Practice Address - Phone:866-288-5450
Practice Address - Fax:866-509-3414
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHARMA INSTITUTE OF PAIN MEDICINE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-25
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265479201Medicaid