Provider Demographics
NPI:1497085328
Name:SIFLING, WILLIAM JOHN (PT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOHN
Last Name:SIFLING
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 2ND AVE SE SLIP 31
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3938
Mailing Address - Country:US
Mailing Address - Phone:727-479-5747
Mailing Address - Fax:855-232-8604
Practice Address - Street 1:300 2ND AVE SE SLIP 31
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3938
Practice Address - Country:US
Practice Address - Phone:727-479-5747
Practice Address - Fax:855-232-8604
Is Sole Proprietor?:No
Enumeration Date:2009-12-26
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27701225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist