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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
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology 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
200804OTHERFLBC/BS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
55412514OTHERAETNA

General Provider Information

NPI Number : 1821071960
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERIDAN HEALTHCORP INC
Provider Business Mailing Address
First Line : PO BOX 744538
Second Line :
City : ATLANTA
State : GA
Zip : 30374-4538
Country : US
Telephone Number : 954-838-2371
Fax Number :
Provider Business Practice Location Address
First Line : 1525 W CYPRESS CREEK RD
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33309-1831
Country : US
Telephone Number : 844-248-4320
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : KAREN VAUGHN
Credential :
Telephone Number : 973-251-1132
Provider Enumeration Date : 11/22/2005
Last Update Date : 05/04/2023

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Directions to “SHERIDAN HEALTHCORP INC ” Practice Location

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