Sidran, Philip Ross

Sidran, Philip Ross is an individual health care provider with primary practice located at 7971 Sw 122Nd St , Miami FL 33156-5228. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sidran, Philip Ross can be contacted via phone (305) 252-7979.

Contact Information

Primary practice address
7971 Sw 122Nd St Miami FL 33156-5228
Phone: (305) 252-7979
Fax: (305) 235-0201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC804 Florida

Profile Details

NPI number 1992766208
LBN Legal business name Sidran, Philip Ross
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Oct 29th, 2008 - about 16 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 1992766208 NPPES
Florida MEDICAID 084036000

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