Healthcare Provider Details

I. General information

NPI: 1821444779
Provider Name (Legal Business Name): SHERIDAN CRITICAL CARE SERVICES OF FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 N FLAGLER DR
WEST PALM BEACH FL
33401-3406
US

IV. Provider business mailing address

PO BOX 450519
SUNRISE FL
33345-0519
US

V. Phone/Fax

Practice location:
  • Phone: 561-650-6094
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT J COWARD
Title or Position: PRESIDENT
Credential:
Phone: 954-838-2371