Provider Demographics
NPI:1700963378
Name:MILLER, SHARON C (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:C
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S AUSTRALIAN AVE
Mailing Address - Street 2:STE 600 PMB 1181
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401
Mailing Address - Country:US
Mailing Address - Phone:561-599-6946
Mailing Address - Fax:561-794-0850
Practice Address - Street 1:500 S AUSTRALIAN AVE
Practice Address - Street 2:STE 600 PMB 1181
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401
Practice Address - Country:US
Practice Address - Phone:561-599-6946
Practice Address - Fax:561-794-0850
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35077945207RE0101X
FLME105654207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH460003819OtherRAILROAD MEDICARE
OH2368754Medicaid
KY64062839Medicaid
000000248194OtherANTHEM BLUE CROSS
3300442OtherUNITED HEALTHCARE
IN200393040Medicaid
2982534OtherAETNA HEALTH PLAN
000000248194OtherANTHEM BLUE CROSS
KY64062839Medicaid