Provider Demographics
NPI:1881673507
Name:SHARMA, ANUJ (DO)
Entity Type:Individual
Prefix:
First Name:ANUJ
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 770573
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34477-0573
Mailing Address - Country:US
Mailing Address - Phone:866-228-5450
Mailing Address - Fax:866-509-3414
Practice Address - Street 1:3221 SW 33RD RD STE 100
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7459
Practice Address - Country:US
Practice Address - Phone:866-288-5450
Practice Address - Fax:866-509-3414
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8794208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265479200Medicaid
FL29076ZMedicare ID - Type Unspecified