Organization Active NPI

Sheridan Radiology Services of South Florida, Inc

  • Diagnostic Radiology Physician
  • West Palm Beach, FL
National Provider Identifier
1407104631
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA, INC
Practice address
5405 Okeechobee Blvd Ste 101
West Palm Beach, FL 33417-4544
Phone
(561) 697-3001
NPI assigned
Aug 20, 2012
Reactivated
Nov 8, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Kathy Kondas
Title
Officer
Phone
(973) 251-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

5405 Okeechobee Blvd Ste 101
West Palm Beach, FL 33417-4544

Mailing address

PO Box 452095
Sunrise, FL 33345-2095

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1407104631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452095",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333452095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 OKEECHOBEE BLVD STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174544",
            "telephone_number": "561-697-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2023-11-08",
        "certification_date": "2023-02-10",
        "deactivation_date": "2023-02-10",
        "reactivation_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "973-251-1122"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.