Sheridan Childrens Healthcare Services Inc

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

SHERIDAN CHILDRENS HEALTHCARE SERVICES INC

Practice address

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Phone

(850) 862-1111

NPI assigned

Jun 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lewis Gold, MD

Title

President

Phone

(954) 838-2371

Specialties & licenses 5

Addresses

Tax ID family

Sheridan Children'S Healthcare Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Sheridan Children'S Healthcare Services, Inc

  • Pediatrics Physician
  • Lakewood Ranch, FL
  • NPI 1831450253
  NPD tax ID
• Sheridan Children'S Healthcare Services, Inc

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Jupiter, FL
  • NPI 1972902419
  NPD tax ID
• Sheridan Children'S Healthcare Services, Inc.

  • Audiologist
  • Sunrise, FL
  • NPI 1962650747
  NPD tax ID
• Sheridan Childrens Healthcare Services Inc

  • Neonatal-Perinatal Medicine Physician
  • Sunrise, FL
  • NPI 1619951969
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164628624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 NW 136TH AVE",
            "address_2": "BUILDING C, SUITE #200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-862-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN CHILDRENS HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-838-2371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Neonatal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Perinatal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Shelf, MD
• Heather Lutz Shelton, ARNP
• Robert Franklin Shelton, M.D.
• Susan Shelton, LMHC
• Sarah Shepherd
• Breana Shae Sherman
• Nuite D Sherman
• Tracy Sherman, PHD, CCC-SLP
• Stacy R. Shidemantle, LMT
• Stephanie Lynn Shidemantle, PHARM.D.

• Pediatric Nurse Practitioner in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.