Individual
SHERLEEN GANDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 202-3860
(904) 202-3846
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME145639
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
145639
FL
208M00000X
Hospitalist Physician
ME145639
FL
Other
Enumeration date
04/17/2015
Last updated
08/10/2021
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