Puthenpurayil, Siby Thomas

Puthenpurayil, Siby Thomas is an individual health care provider with primary practice located at 2801 13Th St , Saint Cloud FL 34769-4134. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Puthenpurayil, Siby Thomas can be contacted via phone (407) 593-2959.

Contact Information

Primary practice address
2801 13Th St Saint Cloud FL 34769-4134
Phone: (407) 593-2959
Fax: (407) 593-2957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X PS42494 Florida
Pharmacy Service Providers / Pharmacist 183500000X PS42494 Florida

Profile Details

NPI number 1003181033
LBN Legal business name Puthenpurayil, Siby Thomas
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2012
Last updated Oct 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003181033 NPPES
Florida MEDICAID 00356500

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