Basic Information
| Provider Information | |||||||||
| NPI: | 1811923808 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHERMAN | ||||||||
| FirstName: | MELVYN | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7800 W OAKLAND PARK BLVD | ||||||||
| Address2: | SUITE E-214 | ||||||||
| City: | SUNRISE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333516741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543186590 | ||||||||
| FaxNumber: | 9543186604 | ||||||||
| Practice Location | |||||||||
| Address1: | 1316 N. STATE RD 7 | ||||||||
| Address2: | |||||||||
| City: | MARGATE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330632843 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9549689993 | ||||||||
| FaxNumber: | 9549689910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2006 | ||||||||
| LastUpdateDate: | 04/25/2014 | ||||||||
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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 | 207Q00000X | OS0003875 | FL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207QA0505X | OS3875 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine |
No ID Information.