Provider Demographics
NPI:1275563918
Name:SINCOFF, ERIC HARRISON (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:HARRISON
Last Name:SINCOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3519 PALM HARBOR BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-1416
Mailing Address - Country:US
Mailing Address - Phone:813-336-4461
Mailing Address - Fax:813-336-4466
Practice Address - Street 1:3519 PALM HARBOR BLVD STE B
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-1416
Practice Address - Country:US
Practice Address - Phone:813-336-4461
Practice Address - Fax:813-336-4466
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004001663207T00000X
FLME113032207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOI31550Medicare UPIN