Provider Demographics
NPI:1972705077
Name:SHERBAN, ROSS (DO)
Entity type:Individual
Prefix:MR
First Name:ROSS
Middle Name:
Last Name:SHERBAN
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 1:2842 SE FEDERAL HWY.
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994
Mailing Address - Country:US
Mailing Address - Phone:248-217-6701
Mailing Address - Fax:248-757-2907
Practice Address - Street 1:2842 SE FEDERAL HWY.
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:844-733-3774
Practice Address - Fax:833-743-7226
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016456207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery