SHERIDAN CHILDRENS HEALTHCARE SERVICES INC
NPI 1164628624
Nurse Practitioner - Pediatrics in Fort Walton Beach, FL

Q: What is Sheridan Childrens Healthcare Services Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since June 22, 2007

1000 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 862-1111 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Sheridan Childrens Healthcare Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERIDAN CHILDRENS HEALTHCARE SERVICES INC (NPI 1164628624) is a healthcare organization registered as a pediatrics in Fort Walton Beach, Florida and active in the NPI registry since June 2007. The organization lists Lewis Gold, President, as its authorized official.

NPPES Registry Identity

NPI1164628624

Entity TypeOrganization

Primary Taxonomy363LP0200X

Legal Business NameSHERIDAN CHILDRENS HEALTHCARE SERVICES INC

Location Address1000 MAR WALT DRFort Walton Beach, FL 32547-6708

Mailing Address1613 Nw 136th Ave, Building C, Suite #200Sunrise, FL 33323-2853

Phone(850) 862-1111

Organization SubpartNo

Authorized OfficialLewis GoldPresident · (954) 838-2371

Enumeration DateJune 22, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1164628624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X

Also ListedNurse Practitioner · PerinatalTaxonomy 363LP1700X

1000 MAR WALT DR, Fort Walton Beach, FL 32547

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA RUTH ANDERSON

Dietitian, Registered