Provider Demographics
NPI:1396729059
Name:SHERRIN, ROBERT H (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:SHERRIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 NW 110TH TER
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6436
Mailing Address - Country:US
Mailing Address - Phone:954-755-2898
Mailing Address - Fax:
Practice Address - Street 1:1776 N PINE ISLAND RD
Practice Address - Street 2:SUITE 124
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-5233
Practice Address - Country:US
Practice Address - Phone:954-473-2608
Practice Address - Fax:954-473-4122
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC0001779152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL084759300Medicaid
FLT85234Medicare UPIN