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NPI Code Detail

MEDICARE: MR SHER MD INC

MEDICARE: MR SHER MD INC
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
1207K00000XAllergy & Immunology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K3533OTHERBCBS

General Provider Information

NPI Number : 1750358909
Entity Type Code : Organization
Provider Name (Legal Business Name) : MR SHER MD INC
Provider Business Mailing Address
First Line : 11200 SEMINOLE BLVD
Second Line : #310
City : LARGO
State : FL
Zip : 33778-3239
Country : US
Telephone Number : 727-397-8557
Fax Number : 727-397-4459
Provider Business Practice Location Address
First Line : 11200 SEMINOLE BLVD
Second Line : #310
City : LARGO
State : FL
Zip : 33778-3239
Country : US
Telephone Number : 727-397-8557
Fax Number : 727-397-4459
Authorized Official
Title or Position : PRESIDENT
Name : MANDEL REID SHER
Credential : MD
Telephone Number : 727-397-8557
Provider Enumeration Date : 03/07/2006
Last Update Date : 08/31/2010

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Directions to “MR SHER MD INC ” Practice Location

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