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Organization
SYD ASSOCIATES, PA
Active
Organization
SYD ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HICKEY DMD (PRESIDENT)
(772) 359-8962
Entity
Organization
Contact information
Practice address
10696 SW VILLAGE PKWY, PORT SAINT LUCIE, FL 34987-2358
(772) 380-4490
(772) 380-4493
Mailing address
PO BOX 8359, PORT SAINT LUCIE, FL 34985-8359
(772) 380-4490
(772) 380-4493
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN11997
FL
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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