Provider Demographics
NPI:1316940810
Name:SMALLWOOD SHERRER, YVONNE ROBERTA (MD)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:ROBERTA
Last Name:SMALLWOOD SHERRER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5333 N. DIXIE HIGHWAY
Mailing Address - Street 2:#110
Mailing Address - City:FT. LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33334
Mailing Address - Country:US
Mailing Address - Phone:954-229-7030
Mailing Address - Fax:954-229-2430
Practice Address - Street 1:5333 N. DIXIE HIGHWAY
Practice Address - Street 2:#110
Practice Address - City:FT. LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334
Practice Address - Country:US
Practice Address - Phone:954-229-7030
Practice Address - Fax:954-229-2430
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2010-08-17
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Provider Licenses
StateLicense IDTaxonomies
FLME0047078207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD78869Medicare UPIN