Individual
MARC H SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD, PA
Contact information
Practice address
1495 W STATE ROAD 434, SUITE 109, LONGWOOD, FL 32750-3847
(407) 332-8255
(407) 332-5769
Mailing address
1495 W STATE ROAD 434, SUITE 109, LONGWOOD, FL 32750-3847
(407) 332-8255
(407) 332-5769
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC1051
FL
152WV0400X
Vision Therapy Optometrist
Primary
OPC1051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084456000
—
FL
01
—
D04539
RAILROAD MEDICARE
FL
Enumeration date
08/16/2005
Last updated
06/19/2019
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