Provider Demographics
NPI:1912520826
Name:GOKOOL, SHARON O (FNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:O
Last Name:GOKOOL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7530 WINTER SHADE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-8166
Mailing Address - Country:US
Mailing Address - Phone:321-297-2942
Mailing Address - Fax:
Practice Address - Street 1:341 N MAITLAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4761
Practice Address - Country:US
Practice Address - Phone:407-904-8400
Practice Address - Fax:407-904-0408
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11007149363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily