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Contact Information

SHERIDAN CHILDRENS HEALTHCARE SERVICES INC
1000 MAR WALT DR
FORT WALTON BEACH, FL32547-6708
 Phone: 850-862-1111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Perinatal

363LP1700X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHERIDAN CHILDRENS HEALTHCARE SERVICES INC · (Female)

NPI # 1164628624
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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