Provider Demographics
NPI:1386759504
Name:WARD, SHARON VIRGINIA (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:VIRGINIA
Last Name:WARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3134 NORTHSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4114
Mailing Address - Country:US
Mailing Address - Phone:305-294-8441
Mailing Address - Fax:305-296-3383
Practice Address - Street 1:3134 NORTHSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4114
Practice Address - Country:US
Practice Address - Phone:305-294-8441
Practice Address - Fax:305-296-3383
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81114207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL259925200Medicaid
FL51596OtherBLUE CROSS BLUE SHIELD
FL259925200Medicaid
FL51596OtherBLUE CROSS BLUE SHIELD
FL51569YMedicare ID - Type Unspecified
FL651154481OtherTAX ID