Provider Demographics
NPI:1134120561
Name:SHERLING, STEPHEN E SR (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:E
Last Name:SHERLING
Suffix:SR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33801-5943
Mailing Address - Country:US
Mailing Address - Phone:863-688-7860
Mailing Address - Fax:
Practice Address - Street 1:1509 MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-5943
Practice Address - Country:US
Practice Address - Phone:863-688-7860
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 16640183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist