George Sidhom MD PA

NPI #1336336130 in Brandon, Florida

Provider Information

NPI Number: 1336336130
Entity Type: Organization
Organization Name: George Sidhom MD PA
Primary Specialty: Specialist
Enumeration Date: Sep 26, 2007
Last Updated: Apr 3, 2013

Practice Location

Address: 722 BOWING OAK DR
City: Brandon
State: Florida
ZIP Code: 33511-5974
Phone: (813) 684-7246

Authorized Official

Name: JEAN SIDHOM
Title: BILLING/OFFICE MANAGER
Phone: (352) 688-6393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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