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NPI Code Detail

MEDICARE: SHERIDAN HEALTHCARE OF TEXAS PA

MEDICARE: SHERIDAN HEALTHCARE OF TEXAS PA
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
1231H00000XAudiologist

General Provider Information

NPI Number : 1013119882
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERIDAN HEALTHCARE OF TEXAS PA
Provider Business Mailing Address
First Line : 1613 NW 136TH AVE
Second Line : BUILDING C, SUITE #200
City : SUNRISE
State : FL
Zip : 33323-2853
Country : US
Telephone Number : 954-838-2371
Fax Number :
Provider Business Practice Location Address
First Line : 6700 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77074-4906
Country : US
Telephone Number : 713-778-3272
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : GILBERT L DROZDOW
Credential : MD
Telephone Number : 954-838-2371
Provider Enumeration Date : 06/04/2007
Last Update Date : 03/20/2009

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Directions to “SHERIDAN HEALTHCARE OF TEXAS PA ” Practice Location

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