Individual
DR. RICHARD W SIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
421 E CENTRAL BLVD, #1304, ORLANDO, FL 32801-1654
(202) 230-7955
(888) 274-9026
Mailing address
421 E CENTRAL BLVD, #1304, ORLANDO, FL 32801-1654
(202) 230-7955
(888) 274-9026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5076
AZ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS10707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339377
—
AZ
01
—
P00625185
RAILROAD MEDICARE
AZ
Enumeration date
05/30/2008
Last updated
12/12/2011
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