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Individual

DR. DYLAN J. SHERIDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-22579
HI
207R00000X
Internal Medicine Physician
ME124896
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33181
BCBS
FL
Enumeration date
06/12/2012
Last updated
07/29/2022
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