Healthcare Provider Details

I. General information

NPI: 1801947379
Provider Name (Legal Business Name): ROGER ELLIOTT SINKOE D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2007
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 S FLAMINGO RD STE 204
COOPER CITY FL
33330-2703
US

IV. Provider business mailing address

5500 S FLAMINGO RD STE 204
COOPER CITY FL
33330-2703
US

V. Phone/Fax

Practice location:
  • Phone: 954-434-3221
  • Fax: 866-777-5484
Mailing address:
  • Phone: 954-434-3221
  • Fax: 866-777-5484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO1833
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO1833
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: