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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992766208 | NPPES |
| Florida | MEDICAID | 084036000 |
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