Provider Demographics
NPI:1568630291
Name:SCHEUERMANN, ALEXANDER LOUIS (DO)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:LOUIS
Last Name:SCHEUERMANN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 N FEDERAL HWY
Mailing Address - Street 2:SUITE # 270
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-4917
Mailing Address - Country:US
Mailing Address - Phone:561-910-1251
Mailing Address - Fax:561-910-1047
Practice Address - Street 1:5301 N FEDERAL HWY
Practice Address - Street 2:SUITE # 270
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-4917
Practice Address - Country:US
Practice Address - Phone:561-910-1251
Practice Address - Fax:561-910-1047
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 10159208D00000X, 204D00000X
FLOS10159207KA0200X, 2084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000160500Medicaid