# MARC H SHERMAN OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073764817
- **Authorized official:** MS. REBECCA YVONNE BERRIOS (OFFICE MANAGER)
- **Authorized official phone:** (407) 332-8255

## Contact information

- **Practice address:** 1495 W STATE ROAD 434, SUITE 109, LONGWOOD, FL 32750-3861
- **Practice address phone:** (407) 332-8255
- **Practice address fax:** (407) 332-5769
- **Mailing address:** 1495 W STATE ROAD 434, SUITE 109, LONGWOOD, FL 32750-3861
- **Mailing address phone:** (407) 332-8255
- **Mailing address fax:** (407) 332-5769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1051 | FL | Yes |

## Other

- **Enumeration date:** 10/09/2008
- **Last updated:** 05/24/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 084456000 | — | FL |