ELAINE C SHARP MD PA
Medical Practice at Gulf Breeze Pkwy, Gulf Breeze, FL

License number
Florida 055013
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: MS. JENNIFER LEMASTER
Title: OFFICE MANAGER
Phone: (850) 733-9446
Address
Address
2874 Gulf Breeze Pkwy, Gulf Breeze, FL 32563
National Provider ID: 1497154611
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ELAINE C. SHARP, M.D., PA

Gulf Breeze, FL  -  Otterville, IL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Nov 13, 1989
Inactive since:
Feb 11, 2013
Addresses:
2874 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 (Physical)
Gulf Breeze, FL 32562 (Mailing)
PO Box 70, Otterville, IL 62052
1329 College Pkwy, Gulf Breeze, FL 32563
State ID:
L29744
Business type:
Florida Profit Corporation
President:
Elaine C Sharp (President), 2874 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 (Physical)
Agent:
Elaine Sharp,2874 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 (Physical)
EIN:
592975367

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