1275700080 NPI number — RICHARD E SORKIN OD PA

Table of content: ASHLEY M LEWIS DOCTORATE OF OT (NPI 1639911126)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275700080 NPI number — RICHARD E SORKIN OD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICHARD E SORKIN OD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275700080
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5100 CENTRAL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST PETERSBURG
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33707-1833
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-321-1101
Provider Business Mailing Address Fax Number:
727-327-5302

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5100 CENTRAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33707-1833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-321-1101
Provider Business Practice Location Address Fax Number:
727-327-5302
Provider Enumeration Date:
05/12/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SORKIN
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
E
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
727-321-1101

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 620392200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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