Provider Demographics
NPI:1871540245
Name:DANOFF, SHERWOOD S (MD)
Entity type:Individual
Prefix:
First Name:SHERWOOD
Middle Name:S
Last Name:DANOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0019350174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD58152Medicare UPIN
FL71670AMedicare ID - Type Unspecified
FL71670Medicare ID - Type Unspecified