Organization Active NPI

Sharron Pediatric Center

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1770459729
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SHARRON PEDIATRIC CENTER
Practice address
5045 Soutel Dr
Jacksonville, FL 32208-1898
Phone
(904) 799-8059
Fax
(904) 300-3228
NPI assigned
Oct 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharron Lynette Braziel-Marshall, RN
Title
Owner
Phone
(904) 799-8059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5045 Soutel Dr
Jacksonville, FL 32208-1898

Mailing address

5045 Soutel Dr
Jacksonville, FL 32208-1898
Phone (904) 799-8059

National Provider Directory

National Provider Directory

Locations

5045 Soutel Dr
Jacksonville, FL 32208
Phone (904) 799-8059

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1770459729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 SOUTEL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081898",
            "telephone_number": "904-799-8059",
            "fax_number": "904-300-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 SOUTEL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081898",
            "telephone_number": "904-799-8059",
            "fax_number": "904-300-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARRON PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "BRAZIEL-MARSHALL",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-799-8059",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.