Healthcare Provider Details

I. General information

NPI: 1215981923
Provider Name (Legal Business Name): SHERYL FALKOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 05/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 CENTER ST PICU
MOBILE AL
36604-3301
US

IV. Provider business mailing address

PO BOX 40480
MOBILE AL
36640
US

V. Phone/Fax

Practice location:
  • Phone: 251-415-1546
  • Fax: 251-415-1026
Mailing address:
  • Phone: 251-415-1546
  • Fax: 251-415-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number23271
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: