Gharda, Shirine Marianne

Gharda, Shirine Marianne is an sole proprietor health care provider with primary practice located at 6500 Crill Ave , Palatka FL 32177-9230. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Gharda, Shirine Marianne can be contacted via phone (386) 326-0575.

Contact Information

Primary practice address
6500 Crill Ave Palatka FL 32177-9230
Phone: (386) 326-0575
Fax: (866) 653-0629
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME58156 Florida
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME58156 Florida

Profile Details

NPI number 1598718801
LBN Legal business name Gharda, Shirine Marianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Dec 28th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598718801 NPPES
Florida MEDICAID 064646600

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