Provider Demographics
NPI:1700011913
Name:SARIDAKIS SURGICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:SARIDAKIS SURGICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELEKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SARIDAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-962-3225
Mailing Address - Street 1:5015 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6515
Mailing Address - Country:US
Mailing Address - Phone:954-962-3225
Mailing Address - Fax:954-962-7199
Practice Address - Street 1:5015 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6515
Practice Address - Country:US
Practice Address - Phone:954-962-3225
Practice Address - Fax:954-962-7199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83637208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty