MEDICARE: DR. ALEXANDER IAN SHERZER 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
1	207R00000X	Internal Medicine Physician	254408	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	25MA0831400	OTHER	NJ	MEDICAL LIECENSE
2	254408	OTHER	NY	MEDICAL LICENSE NUMBER
3	ME108065	OTHER	FL	MEDICAL LICENSE NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639364672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER IAN SHERZER M.D.

Provider Business Mailing Address
First Line	:	9200 BONITA BEACH RD SE
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34135-4278
Country	:	US
Telephone Number	:	239-785-0262
Fax Number	:

Provider Business Practice Location Address
First Line	:	9200 BONITA BEACH RD SE
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34135-4278
Country	:	US
Telephone Number	:	239-785-0262
Fax Number	:

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

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	02/26/2020

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Directions to “ DR. ALEXANDER IAN SHERZER M.D.” Practice Location

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