Healthcare Provider Details

I. General information

NPI: 1275574865
Provider Name (Legal Business Name): ALAN BRUCE SHERMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 10/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11375 CORTEZ BLVD
SPRING HILL FL
34613-5409
US

IV. Provider business mailing address

2 MIDWAY IS
CLEARWATER BEACH FL
33767-2311
US

V. Phone/Fax

Practice location:
  • Phone: 352-597-3008
  • Fax:
Mailing address:
  • Phone: 727-786-8789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS4994
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: