Organization
BARTON G. SICKINGER, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARTON G SICKINGER D.O., P.A. (PRESIDENT)
(407) 644-8668
Entity
Organization
Contact information
Practice address
650 N WYMORE RD, STE.# 101, WINTER PARK, FL 32789-2859
(407) 644-8668
(407) 644-5637
Mailing address
650 N WYMORE RD, STE.# 101, WINTER PARK, FL 32789-2859
(407) 644-8668
(407) 644-5637
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
05000-5006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042383100
—
FL
01
—
060031133
RAILROAD MEDICARE
FL
01
—
2001321
AETNA
FL
Enumeration date
09/30/2010
Last updated
09/30/2010
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