Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME119468 | FL |
Y | 2080P0201X | Pediatric Allergist | ME119468 | FL |
NPI | 1275793820 |
---|---|
Provider Name | Janelle Mara Sher |
First Address | Plantation, FL 33324-3920 |
Second Address | North Miami, FL 33181-2817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 20/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
012017100 | (05) | FL |