Organization Active NPI

Sheridan Radiology Services of South Florida, Inc

  • Diagnostic Radiology Physician
  • Royal Palm Beach, FL
National Provider Identifier
1679821805
Registry record updated Mar 9, 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
440 N State Road 7
Royal Palm Beach, FL 33411-3504
Phone
(561) 209-6083
NPI assigned
Aug 20, 2012
Reactivated
Mar 9, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 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) 251-1132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

440 N State Road 7
Royal Palm Beach, FL 33411-3504

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": "1678320000000",
    "number": "1679821805",
    "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": "440 N STATE ROAD 7",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113504",
            "telephone_number": "561-209-6083"
        }
    ],
    "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": "2023-02-10",
        "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": "973-251-1132"
    },
    "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 Royal Palm Beach, FL

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.

Verify at the official NPI Registry.