Individual
DR. SIDNEY POSSICK
Active
Individual
DR. SIDNEY POSSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
19498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64266Z
MEDICARE PTAN
FL
Enumeration date
09/16/2006
Last updated
02/26/2010
Update your record
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