Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 2011001613 | MO |
NPI | 1326202151 |
---|---|
Provider Name | Dr. Stuart Howard Hershman |
First Address | Ft Lauderdale, FL 33308-2226 |
Second Address | Ft Lauderdale, FL 33308-2226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 06/12/2018 |