Provider Demographics
NPI:1366238982
Name:SHARONOVA, ARINA
Entity type:Individual
Prefix:
First Name:ARINA
Middle Name:
Last Name:SHARONOVA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 NE 187TH ST APT 626
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2982
Mailing Address - Country:US
Mailing Address - Phone:786-838-7691
Mailing Address - Fax:
Practice Address - Street 1:2775 NE 187TH ST APT 626
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2982
Practice Address - Country:US
Practice Address - Phone:786-838-7691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038509363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health