Individual
K M SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4555 LILLIAN HWY, PENSACOLA, FL 32506-6435
(850) 456-8811
Mailing address
4051 BARRANCAS AVE, SUITE G#153, PENSACOLA, FL 32507
(850) 456-8811
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
36001
GA
208VP0000X
Pain Medicine Physician
Primary
ME62441
FL
Other
Enumeration date
05/18/2006
Last updated
08/17/2011
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