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Individual

ANWAR SIDDIQUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13600 ICOT BLVD, CLEARWATER, FL 33760
(727) 796-6900
Mailing address
9523 HIGHLAND PARK DR, ROSEVILLE, CA 95678-2911

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO3930
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
N006733-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3930
FL

Other

Enumeration date
07/15/2015
Last updated
08/08/2019
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