Basic Information
| Provider Information | |||||||||
| NPI: | 1659363455 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHER | ||||||||
| FirstName: | JERRY | ||||||||
| MiddleName: | SIDNEY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | II | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20601 E DIXIE HWY | ||||||||
| Address2: | SUITE #330 | ||||||||
| City: | AVENTURA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331801540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3056745956 | ||||||||
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| Practice Location | |||||||||
| Address1: | 20601 E DIXIE HWY | ||||||||
| Address2: | SUITE #330 | ||||||||
| City: | AVENTURA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331801540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3056745956 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2005 | ||||||||
| LastUpdateDate: | 06/21/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0005X | ME0066762 | FL | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine |
No ID Information.