# RICHARD E SORKIN OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275700080
- **Authorized official:** DR. RICHARD E SORKIN (OWNER)
- **Authorized official phone:** (727) 321-1101

## Contact information

- **Practice address:** 5100 CENTRAL AVE, ST PETERSBURG, FL 33707-1833
- **Practice address phone:** (727) 321-1101
- **Practice address fax:** (727) 327-5302
- **Mailing address:** 5100 CENTRAL AVE, ST PETERSBURG, FL 33707-1833
- **Mailing address phone:** (727) 321-1101
- **Mailing address fax:** (727) 327-5302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2008
- **Last updated:** 02/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 620392200 | — | FL |