MEDICARE: SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA, INC.

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
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1790033942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA, INC.

Provider Business Mailing Address
First Line	:	P.O. BOX 452225
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33345-2225
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7070 W PALMETTO PARK RD
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3411
Country	:	US
Telephone Number	:	561-417-7920
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GILBERT L DROZDOW
Credential	:	MD
Telephone Number	:	954-838-2371

Provider Enumeration Date	:	08/20/2012
Last Update Date	:	09/20/2019

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