Organization
ALLAN R SIDORSKY DCPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN ROBERT SIDORSKY D.C. (OWNER)
(954) 673-2820
Entity
Organization
Contact information
Practice address
1151 BLACKWOOD AVE, SUITE 110, OCOEE, FL 34761-4550
(407) 205-8847
(407) 253-1470
Mailing address
339 BEACON POINTE DR, OCOEE, FL 34761-4414
(954) 673-2820
(407) 253-1470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382215000
—
FL
Enumeration date
10/31/2013
Last updated
10/31/2013
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