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NPI Code Detail

MEDICARE: SHERIDAN EMERGENCY PHYSICIAN SERVICES INC

MEDICARE: SHERIDAN EMERGENCY PHYSICIAN SERVICES 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
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598748030
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERIDAN EMERGENCY PHYSICIAN SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 781149
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-1149
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Provider Business Practice Location Address
First Line : 1210 S OLD DIXIE HWY
Second Line :
City : JUPITER
State : FL
Zip : 33458-7205
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : CHRISTOPHER KENNEDY
Credential :
Telephone Number : 207-807-9009
Provider Enumeration Date : 11/29/2005
Last Update Date : 06/02/2026

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