MEDICARE: MRS. SONJA KERR 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	207Q00000X	Family Medicine Physician	ME0064083	FL

General Provider Information

NPI Number	:	1811997083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SONJA KERR M.D.

Provider Business Mailing Address
First Line	:	7975 WEST MCNAB ROAD
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321
Country	:	US
Telephone Number	:	954-720-6338
Fax Number	:	954-720-6559

Provider Business Practice Location Address
First Line	:	4630 N UNIVERSITY DR
Second Line	:	PMB # 316
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4626
Country	:	US
Telephone Number	:	954-720-6338
Fax Number	:	954-720-6559

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/08/2007

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