Provider Demographics
NPI:1376739904
Name:D.P. SHERMAN, INC
Entity Type:Organization
Organization Name:D.P. SHERMAN, INC
Other - Org Name:SHERMAN WALK IN CENTER AND SKIN CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-562-1128
Mailing Address - Street 1:3721 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-2740
Mailing Address - Country:US
Mailing Address - Phone:850-562-1128
Mailing Address - Fax:
Practice Address - Street 1:3721 N MONROE ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-2740
Practice Address - Country:US
Practice Address - Phone:850-562-1128
Practice Address - Fax:850-562-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 34778207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL72159OtherMEDICARE GROUP
FL72159OtherMEDICARE GROUP