Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | ME102638 | FL |
N | 2081P2900X | Pain Medicine | ME54328 | FL |
NPI | 1104074046 |
---|---|
Provider Name | Scott David Sherman |
First Address | Delray Beach, FL 33484-8172 |
Second Address | Orlando, FL 32819-4202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2008 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AM927X | MEDICARE 34259 (01) | FL |
ME102638 | FLORIDA LICENSE (01) | FL |