Siennicki, Gerald

Siennicki, Gerald is an individual health care provider with primary practice located at 350 N Ridgewood Ave , Daytona Beach FL 32114. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Siennicki, Gerald can be contacted via phone (386) 238-3200.

Contact Information

Primary practice address
350 N Ridgewood Ave Daytona Beach FL 32114
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0002887 Florida

Profile Details

NPI number 1700846912
LBN Legal business name Siennicki, Gerald
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers