Provider Demographics
NPI:1497722490
Name:SORCHY, PAUL CARL II (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:CARL
Last Name:SORCHY
Suffix:II
Gender:M
Credentials:DC
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 121106
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34712
Mailing Address - Country:US
Mailing Address - Phone:352-394-7577
Mailing Address - Fax:352-394-8000
Practice Address - Street 1:1705 E HIGHWAY 50
Practice Address - Street 2:STE B
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711
Practice Address - Country:US
Practice Address - Phone:352-394-7577
Practice Address - Fax:352-394-8000
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7295111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
55791ZMedicare ID - Type Unspecified
K5788Medicare ID - Type Unspecified
U73617Medicare UPIN