MEDICARE: SCOTT DAVID SHERMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	ME54328	FL
2	208VP0000X	Pain Medicine Physician	ME102638	FL
3	208100000X	Physical Medicine & Rehabilitation Physician	ME102638	FL
4	208VP0014X	Interventional Pain Medicine Physician	ME102638	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AM927X	OTHER	FL	MEDICARE 34259

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	ME102638	OTHER	FL	FLORIDA LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104074046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT DAVID SHERMAN M.D.

Provider Business Mailing Address
First Line	:	5365 W ATLANTIC AVE
Second Line	:	SUITE 504
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8172
Country	:	US
Telephone Number	:	561-241-9300
Fax Number	:	561-241-9339

Provider Business Practice Location Address
First Line	:	5948 TURKEY LAKE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-4202
Country	:	US
Telephone Number	:	407-288-8080
Fax Number	:	407-352-0104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	01/28/2022

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Directions to “ SCOTT DAVID SHERMAN M.D.” Practice Location

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