Organization
SHERIDAN CHILDRENS HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MARIE VAUGHN (AUTHORIZED OFFICIAL)
(404) 450-4684
Entity
Organization
Contact information
Practice address
1613 N HARRISON PKWY, #200, SUNRISE, FL 33323
(954) 838-2371
Mailing address
PO BOX 3431, INDIANAPOLIS, IN 46206-3431
(954) 939-5000
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05573400
—
FL
05
—
055734001
—
FL
05
—
055734003
—
FL
01
—
98791
BC/BS
FL
Enumeration date
11/30/2005
Last updated
11/04/2024
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