Provider Demographics
NPI:1821210816
Name:ALLEN, SHARMAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARMAN
Middle Name:S
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7643 GATE PKWY
Mailing Address - Street 2:SUITE 104-151
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-2893
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7643 GATE PKWY
Practice Address - Street 2:SUITE 104-151
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-2893
Practice Address - Country:US
Practice Address - Phone:561-715-0523
Practice Address - Fax:561-477-2405
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2009-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME511372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry