Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS 10159 | FL |
N | 207KA0200X | Allergist | OS10159 | FL |
N | 208D00000X | General Practice Physician | OS 10159 | FL |
NPI | 1568630291 |
---|---|
Provider Name | Dr. Alexander Louis Scheuermann |
First Address | Boca Raton, FL 33487-4917 |
Second Address | Boca Raton, FL 33487-4917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2008 |
Last Update Date | 11/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000160500 | (05) | FL |