Sidhom, George S

Sidhom, George S is an sole proprietor health care provider with primary practice located at 5193 Mariner Blvd , Spring Hill FL 34609-1834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Sidhom, George S can be contacted via phone (352) 688-6393.

Contact Information

Primary practice address
5193 Mariner Blvd Spring Hill FL 34609-1834
Phone: (352) 688-6393
Fax: (352) 688-1113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME0066412 Florida

Profile Details

NPI number 1003814435
LBN Legal business name Sidhom, George S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Sep 21st, 2011 - about 13 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 1003814435 NPPES
Florida MEDICAID 376854600

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