Healthcare Provider Details

I. General information

NPI: 1386797595
Provider Name (Legal Business Name): JOSEPH A SYKES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13535 NEMOURS PKWY
ORLANDO FL
32827-7402
US

IV. Provider business mailing address

5955 PONCE DE LEON BLVD
CORAL GABLES FL
33146
US

V. Phone/Fax

Practice location:
  • Phone: 407-567-4000
  • Fax: 407-650-7124
Mailing address:
  • Phone: 305-661-1515
  • Fax: 305-663-5998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number25MAO7541100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberME108180
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: