Organization
SHERIDAN HEALTHCORP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1525 W CYPRESS CREEK RD, FT LAUDERDALE, FL 33309-1831
(844) 248-4320
Mailing address
PO BOX 744538, ATLANTA, GA 30374-4538
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00804
BC/BS
FL
05
—
202280000
—
FL
05
—
202280030
—
FL
05
—
202280035
—
FL
01
—
5412514
AETNA
—
Enumeration date
11/22/2005
Last updated
05/04/2023
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