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NPI Code Detail

MEDICARE: DR. ADDIE SHERBANY M.D.

MEDICARE: DR. ADDIE SHERBANY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician167675NY

General Provider Information

NPI Number : 1215206990
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADDIE SHERBANY M.D.
Provider Business Mailing Address
First Line : 3200 N OCEAN BLVD
Second Line : 1808
City : FORT LAUDERDALE
State : FL
Zip : 33308-7152
Country : US
Telephone Number : 954-494-9900
Fax Number :
Provider Business Practice Location Address
First Line : 3200 N OCEAN BLVD
Second Line : 1808
City : FORT LAUDERDALE
State : FL
Zip : 33308-7152
Country : US
Telephone Number : 954-494-9900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2011
Last Update Date : 12/23/2011

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Directions to “ DR. ADDIE SHERBANY M.D.” Practice Location

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