Provider Demographics
NPI:1033170808
Name:SAKELLARIDES, MICHAEL J (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:SAKELLARIDES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5341 GRAND BLVD
Mailing Address - Street 2:STE 104
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652
Mailing Address - Country:US
Mailing Address - Phone:727-848-7818
Mailing Address - Fax:727-848-0050
Practice Address - Street 1:5341 GRAND BLVD
Practice Address - Street 2:STE 104
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4011
Practice Address - Country:US
Practice Address - Phone:727-848-7818
Practice Address - Fax:727-848-0050
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2011-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 18453207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology