Individual
DR. GEORGE S SIDHOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5193 MARINER BLVD, SPRING HILL, FL 34609-1834
(352) 688-6393
(352) 688-1113
Mailing address
PO BOX 10478, BROOKSVILLE, FL 34603-0478
(352) 688-6393
(352) 688-1113
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME0066412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376854600
—
FL
Enumeration date
07/11/2005
Last updated
09/21/2011
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