MEDICARE: DR. GULAB SHER MD

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	174400000X	Specialist	ME89483	FL
2	208M00000X	Hospitalist Physician	ME89483	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	N279181	OTHER	FL	HEALTHEASE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	43222	OTHER	FL	BCBS
4	P00211754	OTHER	FL	RAILROAD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780617977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GULAB SHER MD

Provider Business Mailing Address
First Line	:	PO BOX 919424
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-9424
Country	:	US
Telephone Number	:	863-816-5884
Fax Number	:	863-940-4856

Provider Business Practice Location Address
First Line	:	4315 HIGHLAND PARK BLVD
Second Line	:	SUITE D
City	:	LAKELAND
State	:	FL
Zip	:	33813-1639
Country	:	US
Telephone Number	:	863-816-5884
Fax Number	:	863-940-4856

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

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	07/15/2014

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Directions to “ DR. GULAB SHER MD” Practice Location

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