Healthcare Provider Details

I. General information

NPI: 1487018404
Provider Name (Legal Business Name): ALEX SCHEUERMANN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2016
Last Update Date: 04/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 N FEDERAL HWY
BOCA RATON FL
33487-1612
US

IV. Provider business mailing address

7001 N FEDERAL HWY
BOCA RATON FL
33487-1612
US

V. Phone/Fax

Practice location:
  • Phone: 561-750-1558
  • Fax: 561-757-5406
Mailing address:
  • Phone: 561-750-1558
  • Fax: 561-757-5406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER L SCHEUERMANN
Title or Position: PRESIDENT/MEDICAL DIRECTOR
Credential: DO
Phone: 561-750-1558