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NPI Code Detail

MEDICARE: DR. ALAN D SIROTA DPM

MEDICARE:  DR. ALAN D SIROTA  DPM
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
1213E00000XPodiatristPO1395FL

General Provider Information

NPI Number : 1699715854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN D SIROTA DPM
Provider Business Mailing Address
First Line : 2911 RED BUG LAKE RD STE 300
Second Line :
City : CASSELBERRY
State : FL
Zip : 32707-5916
Country : US
Telephone Number : 407-695-7075
Fax Number : 407-695-2069
Provider Business Practice Location Address
First Line : 2911 RED BUG LAKE RD STE 300
Second Line :
City : CASSELBERRY
State : FL
Zip : 32707-5916
Country : US
Telephone Number : 407-695-7075
Fax Number : 407-695-2069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 02/07/2008

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Directions to “ DR. ALAN D SIROTA DPM” Practice Location

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