Organization
SHERIDAN EMERGENCY PHYSICIAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
8330 LAKEWOOD RANCH BLVD, LAKEWOOD RANCH, FL 34202-5174
(941) 782-2100
Mailing address
PO BOX 848508, PEMBROKE PINES, FL 33084-0508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/24/2012
Last updated
08/16/2019
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