Provider Demographics
NPI:1043240187
Name:SHERWOOD S DANOFF MD PA
Entity type:Organization
Organization Name:SHERWOOD S DANOFF MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERWOOD
Authorized Official - Middle Name:S
Authorized Official - Last Name:DANOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:305-289-9858
Mailing Address - Street 1:12701 OVERSEAS HWY
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-3538
Mailing Address - Country:US
Mailing Address - Phone:305-289-9858
Mailing Address - Fax:305-289-1309
Practice Address - Street 1:12701 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-3538
Practice Address - Country:US
Practice Address - Phone:305-289-9858
Practice Address - Fax:305-289-1309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME19350174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0019350OtherME #
FL71670Medicare ID - Type Unspecified
FL71670AMedicare ID - Type Unspecified
FLME0019350OtherME #