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SHERIDAN CHILDRENS HEALTHCARE SERVICES INC

Pediatrics

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Contact Information

SHERIDAN CHILDRENS HEALTHCARE SERVICES INC
1000 MAR WALT DR
FORT WALTON BEACH, FL  32547-6708
 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

NPI Number 1164628624
LBN Legal business name SHERIDAN CHILDRENS HEALTHCARE SERVICES INC
Authorized official LEWIS GOLD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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