Provider Demographics
NPI:1538237243
Name:ERIC SCHERTZER MD PA
Entity type:Organization
Organization Name:ERIC SCHERTZER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERTZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-475-4000
Mailing Address - Street 1:350 N PINE ISLAND RD
Mailing Address - Street 2:STE 301
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1849
Mailing Address - Country:US
Mailing Address - Phone:954-475-4000
Mailing Address - Fax:954-475-1939
Practice Address - Street 1:350 N PINE ISLAND RD
Practice Address - Street 2:STE 301
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1849
Practice Address - Country:US
Practice Address - Phone:954-475-4000
Practice Address - Fax:954-475-1939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0044573207QA0000X, 207QG0300X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent MedicineGroup - Single Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD58979Medicare UPIN
FL79921Medicare ID - Type Unspecified