Provider Demographics
NPI:1124424015
Name:CHERTMAN, LILA SHOSHANA (MD)
Entity type:Individual
Prefix:DR
First Name:LILA
Middle Name:SHOSHANA
Last Name:CHERTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1111 KANE CONCOURSE
Mailing Address - Street 2:SUITE 511
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154
Mailing Address - Country:US
Mailing Address - Phone:305-861-8450
Mailing Address - Fax:888-927-8094
Practice Address - Street 1:1111 KANE CONCOURSE
Practice Address - Street 2:SUITE 511
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154
Practice Address - Country:US
Practice Address - Phone:305-861-8450
Practice Address - Fax:888-927-8094
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN-18688207R00000X
FLME124255207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine