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Deactivated NPI 1316941289 Deactivated / Inactive NPI Female Practitioner

Dr. Sharon Dicristofaro , MD

Pediatrics • Orlando, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sharon Dicristofaro has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2005
NPI Deactivation Date March 15, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Sharon Dicristofaro, MD was a registered Pediatrics practicing in Orlando, FL. Throughout an active medical career spanning 1 years, Dr. Dicristofaro provided care at the practice location at 11317 LAKE UNDERHILL RD STE 600 until profile deactivation on 2006-03-15.

Practice Location & Contact Primary Location

Practice Address

11317 Lake Underhill Rd Ste 600

Orlando, FL 328254453

Telephone 4076410426
Fax 4076410427
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
354 Specialists

Practicing in Orlando, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME 128902

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

General Practice

NUCC Taxonomy Code: 208D00000X

State License FL ME128902

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WV 20510

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ME128902

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1807299000 (WV)
Medicaid State Provider ID
018009400 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jenna Beato , PA-C

Physician Assistant

NPI 1700612850

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

24 Historical Events
📍
Updated Business Mailing Address February 13, 2025

Registered at 2600 WESTHALL LN, MAITLAND, FL 327517102 (Tel: 4072002700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2025

Pediatrics (License #ME 128902 in FL)

📍
Updated Practice Location August 21, 2024

Registered at 11317 LAKE UNDERHILL RD STE 600, ORLANDO, FL 328254453 (Tel: 4076410426)

👤
Provider Name / Credentials Updated August 21, 2024

Recorded as SHARON DICRISTOFARO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2024

Pediatrics (License #ME128902 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2024

Pediatrics (License #20510 in WV)

📍
Updated Practice Location July 20, 2021

Registered at 7455 PINEMIRE DR, OVIEDO, FL 327656094 (Tel: 4075421733)

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Provider Name / Credentials Updated July 20, 2021

Recorded as SHARON DICRISTOFARO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2021

Pediatrics (License #ME 128902 in FL)

📍
Updated Practice Location March 17, 2018

Registered at 1651 N SEMORAN BLVD, STE 11, ORLANDO, FL 328073575 (Tel: 4072491234)

📍
Updated Business Mailing Address March 17, 2018

Registered at 10140 CENTURION PKWY N, JACKSONVILLE, FL 322560532 (Tel: 9046974127)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as SHARON DICRISTOFARO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #20510 in WV)

📍
Updated Business Mailing Address January 13, 2018

Registered at 10140 CENTURION PKWY N, JACKSONVILLE, FL 322560532 (Tel: 9046974127)

📍
Updated Practice Location January 13, 2018

Registered at 1651 N SEMORAN BLVD, STE 11, ORLANDO, FL 328073575 (Tel: 4072491234)

👤
Provider Name / Credentials Updated January 13, 2018

Recorded as SHARON DICRISTOFARO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2018

Pediatrics (License #20510 in WV)

📍
Updated Practice Location August 04, 2016

Registered at 1651 N SEMORAN BLVD, STE 11, ORLANDO, FL 328073575 (Tel: 4072491234)

📍
Updated Business Mailing Address August 04, 2016

Registered at 3486 WOODLEY PARK PL, OVIEDO, FL 327655105 (Tel: 3049390149)

👤
Provider Name / Credentials Updated August 04, 2016

Recorded as SHARON DICRISTOFARO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2016

Pediatrics (License #ME 128902 in FL)

🔄
NPI Profile Reactivated April 06, 2006

Record officially reactivated for active practice on April 06, 2006

⚠️
NPI Profile Deactivated March 15, 2006

Record deactivated on March 15, 2006

🟢
Initial NPI Registration & Enumeration June 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316941289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2005
Last Update: February 13, 2025
Deactivation Date: March 15, 2006
Sole Proprietor: Yes

Mailing Address

2600 Westhall Ln

Maitland, FL 327517102

Phone: 4072002700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.