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NPI Code Detail

MEDICARE: CRAIG SHERWOOD

MEDICARE: CRAIG SHERWOOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist AssistantAA760FL

General Provider Information

NPI Number : 1174271878
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG SHERWOOD
Provider Business Mailing Address
First Line : 6675 CORPORATE CENTER PKWY STE 115
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-8088
Country : US
Telephone Number : 904-245-8910
Fax Number :
Provider Business Practice Location Address
First Line : 6675 CORPORATE CENTER PKWY STE 115
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-8088
Country : US
Telephone Number : 904-245-8910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2022
Last Update Date : 09/11/2024

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Directions to “ CRAIG SHERWOOD ” Practice Location

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