Individual
ALEX SHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
21808 STATE ROAD 54, LUTZ, FL 33549-6923
(813) 922-8621
Mailing address
21808 STATE ROAD 54, LUTZ, FL 33549-6923
(813) 922-8621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9363107
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IV189Z
MEDICARE
FL
05
—
PENDING
—
FL
Enumeration date
11/03/2015
Last updated
03/20/2024
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