Individual
STEVEN SIDELSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 N CLYDE MORRIS BLVD STE 480, DAYTONA BEACH, FL 32114-2766
(386) 317-3960
(386) 254-3131
Mailing address
DEPARTMENT OF UROLOGY, BOX 100247, GAINESVILLE, FL 32610-0247
(352) 273-6815
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051297546
IL
208600000X
Surgery Physician
125071763
IL
208800000X
Urology Physician
Primary
ME158626
FL
Other
Enumeration date
05/12/2015
Last updated
04/28/2023
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