Organization
SIDHU HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANWALJIT SIDHU (CEO)
(630) 849-8756
Entity
Organization
Contact information
Practice address
2595 TAMPA RD STE C, PALM HARBOR, FL 34684-3130
(630) 849-8756
Mailing address
2595 TAMPA RD STE C, PALM HARBOR, FL 34684-3130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
01/23/2024
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