Provider Demographics
NPI:1578715983
Name:ZARGAROFF, SHERWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERWIN
Middle Name:
Last Name:ZARGAROFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 BELFORT RD STE 4015
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-3623
Mailing Address - Country:US
Mailing Address - Phone:904-450-6063
Mailing Address - Fax:904-539-4091
Practice Address - Street 1:511 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-4054
Practice Address - Country:US
Practice Address - Phone:850-416-1950
Practice Address - Fax:850-416-1951
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126486208800000X, 208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1685244OtherCIGNA
FL9745886OtherAETNA
FL392970OtherAVMED
FLSVC08OtherBCBS
FL017550700Medicaid
FL14600OtherDIMENSION HEALTH
FLP01705632OtherRR MEDICARE
FLP979618OtherOPTIMUM
FLP1046404OtherFREEDOM
FL1255039OtherWELLCARE
FL017550700Medicaid
FL1685244OtherCIGNA