# SHERIDAN CHILDRENS HEALTHCARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164628624
- **Authorized official:** LEWIS GOLD MD (PRESIDENT)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
- **Practice address phone:** (850) 862-1111
- **Mailing address:** 1613 NW 136TH AVE, BUILDING C, SUITE \#200, SUNRISE, FL 33323-2853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LN0000X | Neonatal Nurse Practitioner | — | NULL | — |
| 363LN0000X | Neonatal Nurse Practitioner | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |
| 363LP1700X | Perinatal Nurse Practitioner | — | NULL | — |
| 363LP1700X | Perinatal Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 09/11/2025