Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sheridan Childrens Healthcare Services Inc

Organization Neonatal-Perinatal Medicine Physician · NPI 1164628624

Sheridan Childrens Healthcare Services Inc is a Neonatal-Perinatal Medicine Physician in Fort Walton Beach, Florida. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone: (850) 862-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X
Physician Assistant Taxonomy 363A00000X
Neonatal Nurse Practitioner Taxonomy 363LN0000X
Perinatal Nurse Practitioner Taxonomy 363LP1700X

Record details

NPI number1164628624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lewis Gold — President · (954) 838-2371
NPI enumeratedJune 22, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1613 Nw 136th Ave, Building C, Suite #200, Sunrise, FL 33323-2853

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