Individual
JEFFREY SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 S LAKE ST, LEESBURG, FL 34748-5927
(352) 360-2301
(352) 315-7631
Mailing address
640 S LAKE ST, LEESBURG, FL 34748-5927
(352) 360-2301
(352) 315-7631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0083585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180043480
RAILROAD MCARE
FL
01
—
7104472001
CIGNA
—
Enumeration date
07/05/2006
Last updated
04/07/2017
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