Siragusa, Roy J

Siragusa, Roy J is an individual health care provider with primary practice located at 1673 Mason Ave Suite# 305, Daytona Beach FL 32117-5515. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Siragusa, Roy J can be contacted via phone (386) 274-7118.

Contact Information

Primary practice address
1673 Mason Ave Suite# 305 Daytona Beach FL 32117-5515
Phone: (386) 274-7118
Fax: (386) 274-6173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X ME0048311 Florida
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME0048311 Florida
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X ME0048311 Florida
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME0048311 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME0048311 Florida
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X ME0048311 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME0048311 Florida
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X ME0048311 Florida

Profile Details

NPI number 1114960200
LBN Legal business name Siragusa, Roy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 1st, 2010 - about 14 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 1114960200 NPPES
Florida Other 04399 BLUE CROSS BLUE SHIELD
Florida MEDICAID 048314100 BLUE CROSS BLUE SHIELD

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