Provider Demographics
NPI:1487069571
Name:SHERADSKY MILLER, CYNTHIA LOUISE (ARNP)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LOUISE
Last Name:SHERADSKY MILLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:SHERADSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:1611 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1096
Mailing Address - Country:US
Mailing Address - Phone:305-585-5140
Mailing Address - Fax:
Practice Address - Street 1:1914 NE 54TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3141
Practice Address - Country:US
Practice Address - Phone:954-560-2486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSHE1-04323829363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care