Provider Demographics
NPI:1326079211
Name:PILKINGTON, SANDY C (DOM, AP)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:C
Last Name:PILKINGTON
Suffix:
Gender:F
Credentials:DOM, AP
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 5265
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-5265
Mailing Address - Country:US
Mailing Address - Phone:941-284-2861
Mailing Address - Fax:941-586-0565
Practice Address - Street 1:1910 ROBINHOOD ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3620
Practice Address - Country:US
Practice Address - Phone:941-284-2861
Practice Address - Fax:941-480-0565
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2195171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist