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Individual

DR. DAVID SHERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8350 STATE ROUTE 30, DITTMER, MO 63023-1909
(314) 392-3822
Mailing address
2801 NW 23RD BLVD, APT N95, GAINESVILLE, FL 32605-5937
(660) 233-2209

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME130343
FL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
2016037447
MO
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME130343
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2016037447
STATE OF MISSOURI PHYSICIAN AND SURGEON
MO
01
JC419Y
MEDICARE
FL
Enumeration date
08/21/2014
Last updated
12/23/2019
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