Individual
DR. PHILIP ROSS SIDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7971 SW 122ND ST, MIAMI, FL 33156-5228
(305) 252-7979
(305) 235-0201
Mailing address
7971 SW 122ND ST, MIAMI, FL 33156-5228
(305) 252-7979
(305) 235-0201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084036000
—
FL
Enumeration date
03/28/2006
Last updated
10/29/2008
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