Provider Demographics
NPI:1730121492
Name:ROBERT M. SHERMAN, M.D., P.A.
Entity Type:Organization
Organization Name:ROBERT M. SHERMAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RMA ,CREDENTIALS, BILLING, MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LENA
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-455-1927
Mailing Address - Street 1:209 E HALLANDALE BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5524
Mailing Address - Country:US
Mailing Address - Phone:954-455-1927
Mailing Address - Fax:954-455-1673
Practice Address - Street 1:209 E HALLANDALE BEACH BOULEVARD
Practice Address - Street 2:
Practice Address - City:HALLANDALE
Practice Address - State:FL
Practice Address - Zip Code:33009-5524
Practice Address - Country:US
Practice Address - Phone:954-455-1927
Practice Address - Fax:954-455-1673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 22532174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9982Medicare PIN
FLD65690Medicare UPIN