Provider Demographics
NPI:1972322782
Name:SHARMA, VASANTI (PA-C)
Entity type:Individual
Prefix:
First Name:VASANTI
Middle Name:
Last Name:SHARMA
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 E PLANT ST APT 313
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-1940
Mailing Address - Country:US
Mailing Address - Phone:954-393-7244
Mailing Address - Fax:
Practice Address - Street 1:1013 N STATE ROAD 434 STE 1060
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-7078
Practice Address - Country:US
Practice Address - Phone:407-867-0008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9119364363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical