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Organization
PHILIP R SIDRAN, OD, PA
Active
Organization
PHILIP R SIDRAN, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHIIP ROSS SIDRAN O.D. (DOCTOR PRESIDENT)
(305) 252-7979
Entity
Organization
Contact information
Practice address
7971 SW 122ND ST, MIAMI, FL 33156-5228
(305) 252-7979
(305) 235-0201
Mailing address
7971 SW 122ND ST, MIAMI, FL 33156-5228
(305) 252-7979
(305) 235-0201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC804
FL
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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