Provider Demographics
NPI:1053641423
Name:SIANO, JOSEPH C (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:SIANO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 816216
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33081-0216
Mailing Address - Country:US
Mailing Address - Phone:954-243-3362
Mailing Address - Fax:850-765-0586
Practice Address - Street 1:4283 RALEIGH WAY
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32311-3339
Practice Address - Country:US
Practice Address - Phone:850-243-3362
Practice Address - Fax:850-765-0586
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS3101208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice