Individual ProviderSharda RamNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address12280 Lake Underhill Rd, Orlando, FL 32825-5009(352) 445-6491PECOS EnrollmentBased on the most recent information from CMS, provider Sharda Ram is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1457947582Provider TypeIndividualFull NameRam, ShardaGenderFemaleSole ProprietorNoEnumeration Date12/13/2020Last Updated4/23/2024Contact InformationPractice LocationPractice Address12280 Lake Underhill Rd, Orlando, FL 32825-5009Phone(352) 445-6491FaxUnlisted FaxMailing LocationMailing Address12280 Lake Underhill Rd, Orlando, FL 32825-5009Phone(352) 445-6491FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11009552Florida