Sidoff, Luby A

Sidoff, Luby A is an sole proprietor health care provider with primary practice located at 1200 7Th Ave N , St Petersburg FL 33705-1300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sidoff, Luby A can be contacted via phone (727) 825-1100.

Contact Information

Primary practice address
1200 7Th Ave N St Petersburg FL 33705-1300
Phone: (727) 825-1100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD15058 Rhode Island
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD15058 Rhode Island
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME136201 Florida

Profile Details

NPI number 1801235627
LBN Legal business name Sidoff, Luby A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2013
Last updated Aug 3rd, 2021 - about 3 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 1801235627 NPPES
Florida Other LN359 FL MEDICARE PTAN
Florida MEDICAID 025169800 FL MEDICARE PTAN
Florida Other P02532303 FL MEDICARE PTAN
Florida Other EYGWG FL MEDICARE PTAN

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