Provider Demographics
NPI:1366780801
Name:SHARP DIAGNOSTICS LLC
Entity type:Organization
Organization Name:SHARP DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:FEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-266-3851
Mailing Address - Street 1:3333 S CONGRESS AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-7346
Mailing Address - Country:US
Mailing Address - Phone:561-266-3851
Mailing Address - Fax:561-266-3883
Practice Address - Street 1:3333 S CONGRESS AVE STE 400
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-7346
Practice Address - Country:US
Practice Address - Phone:561-266-3851
Practice Address - Fax:561-266-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH8093OtherCHIRO