Provider Demographics
NPI:1134122369
Name:SHEFFIELD, CEDRIC D (MD)
Entity Type:Individual
Prefix:DR
First Name:CEDRIC
Middle Name:D
Last Name:SHEFFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 919301
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-9296
Mailing Address - Country:US
Mailing Address - Phone:813-402-0654
Mailing Address - Fax:813-402-0661
Practice Address - Street 1:5 TAMPA GENERAL CIR
Practice Address - Street 2:SUITE 725
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3601
Practice Address - Country:US
Practice Address - Phone:813-402-0654
Practice Address - Fax:813-402-0661
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0083774208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263484800Medicaid
FLE88261Medicare UPIN
FL06074Medicare PIN