Provider Demographics
NPI:1285859876
Name:HAMILTON, SHARON KATHLEEN (LM)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:KATHLEEN
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LM
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:KATHLEEN
Other - Last Name:STEINICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2461 TAYLOR ST.
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4319
Mailing Address - Country:US
Mailing Address - Phone:954-581-8126
Mailing Address - Fax:954-925-2756
Practice Address - Street 1:2461 TAYLOR ST.
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4319
Practice Address - Country:US
Practice Address - Phone:954-581-8126
Practice Address - Fax:954-925-2756
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW000016176B00000X
FLMA3981225700000X
FLMW16176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY2883OtherBCBS
FL340009300Medicaid