MEDICARE: SHERYL R FACEY MD

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
1	207VX0000X	Obstetrics Physician	ME85432	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316906340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERYL R FACEY MD

Provider Business Mailing Address
First Line	:	11645 BISCAYNE BLVD STE 207
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33181-3138
Country	:	US
Telephone Number	:	305-538-8835
Fax Number	:	305-994-0054

Provider Business Practice Location Address
First Line	:	11645 BISCAYNE BLVD STE 408
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33181-3148
Country	:	US
Telephone Number	:	305-538-8835
Fax Number	:	305-994-0054

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	02/15/2026

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