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NPI Code Detail

MEDICARE: SHERIDAN HEALTHCORP INC

MEDICARE: SHERIDAN HEALTHCORP 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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1710559117
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERIDAN HEALTHCORP INC
Provider Business Mailing Address
First Line : 5565 CENTERVIEW DR STE 107
Second Line :
City : RALEIGH
State : NC
Zip : 27606-3563
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5190 SW 8TH ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2476
Country : US
Telephone Number : 877-328-1119
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : KATHY KONDAS
Credential :
Telephone Number : 877-328-1119
Provider Enumeration Date : 07/14/2021
Last Update Date : 07/14/2021

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Directions to “SHERIDAN HEALTHCORP INC ” Practice Location

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