Provider Demographics
NPI:1639364672
Name:SHERZER, ALEXANDER IAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:IAN
Last Name:SHERZER
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 1:9200 BONITA BEACH RD SE
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4278
Mailing Address - Country:US
Mailing Address - Phone:239-785-0262
Mailing Address - Fax:
Practice Address - Street 1:9200 BONITA BEACH RD SE
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4278
Practice Address - Country:US
Practice Address - Phone:239-785-0262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254408207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA0831400OtherMEDICAL LIECENSE
NY254408OtherMEDICAL LICENSE NUMBER
FLME108065OtherMEDICAL LICENSE NUMBER