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Individual

DR. ALLAN ROBERT SIDORSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
1151 BLACKWOOD AVE, SUITE 170, OCOEE, FL 34761-4550
(321) 234-8900
(407) 930-3544
Mailing address
339 BEACON POINTE DR, OCOEE, FL 34761-4414
(321) 234-8900

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7586
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3822150 00
FL
01
89523
BCBS FLORIDA
FL
Enumeration date
07/14/2006
Last updated
05/09/2016
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