MEDICARE: DR. HARVEY B SHER 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	207RH0003X	Hematology & Oncology Physician	ME16490	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME16490	OTHER	FL	STATE OF FLORIDA MEDICAL LICENSE NUMBER

General Provider Information

NPI Number	:	1952621237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARVEY B SHER M.D.

Provider Business Mailing Address
First Line	:	2742 BEAUCLERC RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5602
Country	:	US
Telephone Number	:	904-737-1798
Fax Number	:

Provider Business Practice Location Address
First Line	:	2742 BEAUCLERC RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5602
Country	:	US
Telephone Number	:	904-737-1798
Fax Number	:

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

Provider Enumeration Date	:	06/09/2010
Last Update Date	:	06/09/2010

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