Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME0083774 | FL |
NPI | 1134122369 |
---|---|
Provider Name | Dr. Cedric D Sheffield |
First Address | Orlando, FL 32891-9296 |
Second Address | Tampa, FL 33606-3601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 10/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
263484800 | (05) | FL |
E88261 | (02) | FL |