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Individual
MR. THOMAS J SHERIDAN
Active
Individual
MR. THOMAS J SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010250
NY
363A00000X
Physician Assistant
Primary
10370
GA
363AM0700X
Medical Physician Assistant
PA9104423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005958700
—
FL
01
—
PA9104423
MEDICAL LICENSE
FL
Enumeration date
02/27/2007
Last updated
08/16/2021
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