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Organization

RONALD C SIROIS MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN DALY (OFFICEMANAGER)
(954) 771-7620
Entity
Organization

Contact information

Practice address
4701 N FEDERAL HWY, SUITE C 10, FORT LAUDERDALE, FL 33308-4608
(954) 771-7620
(954) 771-5665
Mailing address
4701 N FEDERAL HWY, SUITE C 10, FORT LAUDERDALE, FL 33308-4608
(954) 771-7620
(954) 771-5665

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME42798
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326072562
NPI 1
FL
Enumeration date
10/22/2010
Last updated
10/22/2010
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