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General NPI Number Information
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NPI Number | 1730480641
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Entity Type | Organization
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Legal Business Name | SHERWOOD ROY CANTOR MD PA
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 02/18/2015
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Provider Practice Location Address
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Address Line | 9275 SW 152ND ST #105
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1701
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Country | US
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Telephone | 305-251-0449
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Fax | 305-255-6169
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Provider Business Mailing Address
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Address Line | 9275 SW 152ND ST #105
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1701
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Country | US
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Telephone | 305-251-0449
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Fax | 305-255-6169
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHERWOOD ROY CANTOR
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Credential | MD
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Telephone | 305-251-0449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0017641
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License Number State | FL
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