National Provider Identifier Database

SHERIDAN CHILDRENS HEALTHCARE SERVICES INC
Pediatrics


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
* Pediatrics 363LP0200X
Neonatal 363LN0000X
Neonatal-Perinatal Medicine 2080N0001X
Perinatal 363LP1700X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for SHERIDAN CHILDRENS HEALTHCARE SERVICES INC

NPI Number 1164628624
Legal business name
LBN
SHERIDAN CHILDRENS HEALTHCARE SERVICES INC
Authorized official LEWIS GOLD - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/22/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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