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General NPI Number Information
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NPI Number | 1831395987
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Entity Type | Individual
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Provider Name | ALAN EDWIN SIROY M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1601 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32608-1197
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Country | US
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Telephone | 352-548-6607
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Fax |
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Provider Business Mailing Address
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Address Line | 2725 SW 121ST WAY
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City | GAINESVILLE
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State | FL
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Zip | 32608-0142
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Country | US
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Telephone | 618-203-6584
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZM0300X
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Taxonomy Name | Medical Microbiology Physician
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License Number | 55785
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207ZM0300X
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Taxonomy Name | Medical Microbiology Physician
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License Number | 106209
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | ME132575
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 57.014310
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License Number State | OH
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