Healthcare Provider Details

I. General information

NPI: 1033156146
Provider Name (Legal Business Name): PATRICIA ANN SHERRON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. PATRICIA ANN BURKS

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 GREENWOOD AVE #302
WEST PALM BEACH FL
33407-2452
US

IV. Provider business mailing address

5325 GREENWOOD AVE #302
WEST PALM BEACH FL
33407-2452
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-9858
  • Fax: 561-844-3436
Mailing address:
  • Phone: 561-844-9858
  • Fax: 561-844-3436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberME71435
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: