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Individual

MARC H SHERMAN

Active
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Individual

MARC H SHERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD, PA

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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