MEDICARE: MICHAEL ANDREW SIKES DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207RG0100X	Gastroenterology Physician	0102204606	VA

General Provider Information

NPI Number	:	1649658113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ANDREW SIKES DO

Provider Business Mailing Address
First Line	:	2080 CHILD ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 CHILD ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-5600
Country	:	US
Telephone Number	:	904-542-9096
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2015
Last Update Date	:	07/31/2025

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Directions to “ MICHAEL ANDREW SIKES DO” Practice Location

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