Provider Demographics
NPI:1508034356
Name:SHERIFALI, SINEM (MD)
Entity Type:Individual
Prefix:DR
First Name:SINEM
Middle Name:
Last Name:SHERIFALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 WEST EIGHTH STREET
Mailing Address - Street 2:UF & SHANDS DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:655 W 8TH ST
Practice Address - Street 2:UF & SHANDS DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-6511
Practice Address - Country:US
Practice Address - Phone:904-244-6340
Practice Address - Fax:904-244-5666
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301090686207P00000X
FLME113174207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006509300Medicaid
FL14N05OtherBCBSFL
GA003133633AMedicaid
FL14N05OtherBCBSFL