MEDICARE: SHERRI W PINSLEY D.O

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	208VP0000X	Pain Medicine Physician	OS 00007043	FL

General Provider Information

NPI Number	:	1770609257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI W PINSLEY D.O

Provider Business Mailing Address
First Line	:	1325 S CONGRESS AVE
Second Line	:	SUITE 207
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-5876
Country	:	US
Telephone Number	:	561-752-5776
Fax Number	:	561-752-5767

Provider Business Practice Location Address
First Line	:	1325 S CONGRESS AVE
Second Line	:	SUITE 207
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-5876
Country	:	US
Telephone Number	:	561-752-5776
Fax Number	:	561-752-5767

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/08/2007

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