Healthcare Provider Details

I. General information

NPI: 1912535170
Provider Name (Legal Business Name): ALEX SHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 14TH ST STE 702
MIAMI FL
33136-2118
US

IV. Provider business mailing address

1150 NW 14TH ST STE 702
MIAMI FL
33136-2118
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-5509
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number181775
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: