Healthcare Provider Details

I. General information

NPI: 1730392135
Provider Name (Legal Business Name): SHERLOUNE NORMIL-SMITH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 W HILLSBORO BLVD STE 110
COCONUT CREEK FL
33073-4395
US

IV. Provider business mailing address

8000 SW 117TH AVE STE 205
MIAMI FL
33183-4809
US

V. Phone/Fax

Practice location:
  • Phone: 954-794-1360
  • Fax: 954-794-1367
Mailing address:
  • Phone: 305-273-9100
  • Fax: 305-273-9900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME123377
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: