MEDICARE: DR. SHERI LYNN NOVENDSTERN 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	ME78589	FL

General Provider Information

NPI Number	:	1750494027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERI LYNN NOVENDSTERN M.D.

Provider Business Mailing Address
First Line	:	9118 PANZANI PL
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-8136
Country	:	US
Telephone Number	:	407-295-8272
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 CENTRE PARK WEST DR STE 175
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6466
Country	:	US
Telephone Number	:	561-242-3009
Fax Number	:

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	10/29/2019

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