Individual
ANDREW DAVID SISISKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 NW 108TH AVE, PLANTATION, FL 33324-1002
(305) 710-4457
Mailing address
621 NW 108TH AVE, PLANTATION, FL 33324-1002
(305) 710-4457
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
11028
FL
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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