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NPI Code Detail

MEDICARE: SHERIDAN RADIOLOGY SERVICES OF CENTRAL FLORIDA, INC.

MEDICARE: SHERIDAN RADIOLOGY SERVICES OF CENTRAL FLORIDA, 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
12085R0202XDiagnostic Radiology 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 : 1801130505
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERIDAN RADIOLOGY SERVICES OF CENTRAL FLORIDA, INC.
Provider Business Mailing Address
First Line : PO BOX 452047
Second Line :
City : SUNRISE
State : FL
Zip : 33345-2047
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7918 ARBOR CREST WAY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33412-0000
Country : US
Telephone Number : 630-776-3318
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : GILBERT L DROZDOW
Credential : MD
Telephone Number : 954-838-2371
Provider Enumeration Date : 11/19/2012
Last Update Date : 09/20/2019

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