Active NPI
Sheridan Radiology Services of South Florida, Inc.
- Diagnostic Radiology Physician
- Palm Beach Gardens, FL
National Provider Identifier
1336650308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA, INC.
- Practice address
- 3401 Pga Blvd Ste 200
Palm Beach Gardens, FL 33410-2824 - Phone
- (800) 437-2672
- Fax
- (954) 851-1746
- NPI assigned
- Oct 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Kondas
- Title
- Officer
- Phone
- (877) 328-1119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3401 Pga Blvd Ste 200
Palm Beach Gardens, FL 33410-2824
Mailing address
5565 Centerview Dr Ste 107
Raleigh, NC 27606-3563
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625788800000",
"number": "1336650308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 CENTERVIEW DR STE 107",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276063563",
"fax_number": "954-851-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 PGA BLVD STE 200",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102824",
"telephone_number": "800-437-2672",
"fax_number": "954-851-1746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-18",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A",
"authorized_official_last_name": "KONDAS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "877-328-1119"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.