Provider Demographics
NPI:1629039128
Name:SCHERER, MARK STEVEN (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:STEVEN
Last Name:SCHERER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 45 ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-1981
Mailing Address - Country:US
Mailing Address - Phone:561-640-9440
Mailing Address - Fax:561-640-9045
Practice Address - Street 1:3111 45 ST
Practice Address - Street 2:SUITE 5
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1981
Practice Address - Country:US
Practice Address - Phone:561-640-9440
Practice Address - Fax:561-640-9045
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-01
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006378111N00000X
AL1355111N00000X
SC1517111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380395300Medicaid
FL22791Medicare ID - Type Unspecified
U35704Medicare UPIN