Organization Active NPI

Sherwood Roy Cantor MD PA

  • Psychiatry Physician
  • Palmetto Bay, FL
National Provider Identifier
1730480641
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0017641 Issued in FL
Legal business name
SHERWOOD ROY CANTOR MD PA
Practice address
9275 SW 152ND St
#105
Palmetto Bay, FL 33157-1701
Phone
(305) 251-0449
Fax
(305) 255-6169
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sherwood Roy Cantor, MD
Title
President
Phone
(305) 251-0449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0017641 FL Primary

Addresses

Primary practice location

9275 SW 152ND St
#105
Palmetto Bay, FL 33157-1701

Mailing address

9275 SW 152ND St
#105
Palmetto Bay, FL 33157-1701
Phone (305) 251-0449

Other identifiers 1

IdentifierTypeStateIssuer
056135500MedicaidFL

National Provider Directory

National Provider Directory

Locations

9275 SW 152nd St
Ste 105
Palmetto Bay, FL 33157
Phone (305) 251-0449

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1730480641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "#105",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-251-0449",
            "fax_number": "305-255-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "#105",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-251-0449",
            "fax_number": "305-255-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD ROY CANTOR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "CANTOR",
        "authorized_official_first_name": "SHERWOOD",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-251-0449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0017641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056135500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.