Provider Demographics
NPI:1366431181
Name:ACOSTA, SHARON J (MD)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:J
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:900 S PINE ISLAND RD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3920
Mailing Address - Country:US
Mailing Address - Phone:305-363-3067
Mailing Address - Fax:305-686-3920
Practice Address - Street 1:901 S MIAMI AVE STE 300
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3042
Practice Address - Country:US
Practice Address - Phone:305-363-3067
Practice Address - Fax:305-686-3920
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2024-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME63908208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374649600Medicaid
FL374649600Medicaid