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General NPI Number Information
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NPI Number | 1376839423
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Entity Type | Organization
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Legal Business Name | SHERIDAN RADIOLOGY SERVICES OF CENTRAL FLORIDA, INC
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 730 W OAK ST
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City | KISSIMMEE
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State | FL
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Zip | 34741-4938
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Country | US
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Telephone | 407-518-3826
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 452047
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City | SUNRISE
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State | FL
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Zip | 33345-2047
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GILBERT L. DROZDOW
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Credential | MD
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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