Provider Demographics
NPI:1710251509
Name:HARGER, SHERRY JEAN (DOM)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:JEAN
Last Name:HARGER
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15640 PATRIOT DR
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-4188
Mailing Address - Country:US
Mailing Address - Phone:352-796-6246
Mailing Address - Fax:
Practice Address - Street 1:600 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-2528
Practice Address - Country:US
Practice Address - Phone:352-796-6246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3098171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3098OtherSTATE LICENSE