Provider Demographics
NPI:1609017631
Name:SADIRA, SYLVIA (AP, DOM)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:SADIRA
Suffix:
Gender:F
Credentials:AP, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6404 MANATEE AVE W
Mailing Address - Street 2:SUITE I
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-2379
Mailing Address - Country:US
Mailing Address - Phone:941-580-2210
Mailing Address - Fax:
Practice Address - Street 1:6404 MANATEE AVE W
Practice Address - Street 2:SUITE I
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-2379
Practice Address - Country:US
Practice Address - Phone:941-580-2210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-21
Last Update Date:2009-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2615171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist