Healthcare Provider Details

I. General information

NPI: 1962383257
Provider Name (Legal Business Name): SHERIN NASR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 SW 22ND PL FL 34471
OCALA FL
34471-7759
US

IV. Provider business mailing address

3278 LAMANGA DR
MELBOURNE FL
32940-8524
US

V. Phone/Fax

Practice location:
  • Phone: 352-369-3700
  • Fax:
Mailing address:
  • Phone: 321-462-9579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number176812
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: