Provider Demographics
NPI:1295932614
Name:SHARON, ELLIOTT ARNOLD JR (MD)
Entity type:Individual
Prefix:DR
First Name:ELLIOTT
Middle Name:ARNOLD
Last Name:SHARON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:151 WYNNEHAVEN BEACH RD
Mailing Address - Street 2:
Mailing Address - City:MARY ESTHER
Mailing Address - State:FL
Mailing Address - Zip Code:32569-2718
Mailing Address - Country:US
Mailing Address - Phone:850-849-7700
Mailing Address - Fax:
Practice Address - Street 1:10066 NAVARRE PKWY
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-3013
Practice Address - Country:US
Practice Address - Phone:850-930-2500
Practice Address - Fax:850-930-2501
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2023-02-21
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Provider Licenses
StateLicense IDTaxonomies
FLME109320207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine