Active NPI
Sheridan Radiology Services of South Florida, Inc.
- Diagnostic Radiology Physician
- West Palm Beach, FL
National Provider Identifier
1639427883
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
- 1309 N. Flagler Drive
West Palm Beach, FL 33401-3406 - Phone
- (561) 655-5511
- NPI assigned
- Aug 20, 2012
- Reactivated
- Mar 9, 2023
- 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
1309 N. Flagler Drive
West Palm Beach, FL 33401-3406
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": "1345420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678320000000",
"number": "1639427883",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 N. FLAGLER DRIVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013406",
"telephone_number": "561-655-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN RADIOLOGY SERVICES OF SOUTH FLORIDA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-20",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"deactivation_date": "2023-02-03",
"reactivation_date": "2023-03-09",
"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 West Palm Beach, FL
- Sheridan Radiology Services of South Florida, Inc
- Sheridan Radiology Services of South Florida, Inc
- Sheridan Radiology Services of South Florida, Inc.
- Sheridan Radiology Services of South Florida, Inc.
- Sheridan Radiology Services of South Florida, Inc.
- Sheridan Radiology Services of Virginia, Inc
- Sheridan Radiology Services of Virginia, Inc
- Amy Sherman
- Deborah W. Sherman, PHD
- Monica Sherman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.