Provider Demographics
NPI:1821151051
Name:SIKORA, STEPHEN J (RT)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:J
Last Name:SIKORA
Suffix:
Gender:M
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9908 GULF DRIVE
Mailing Address - Street 2:P.O. BOX 669
Mailing Address - City:ANNA MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34216
Mailing Address - Country:US
Mailing Address - Phone:941-778-2641
Mailing Address - Fax:941-779-2291
Practice Address - Street 1:9908 GULF DRIVE
Practice Address - Street 2:
Practice Address - City:ANNA MARIA
Practice Address - State:FL
Practice Address - Zip Code:34216
Practice Address - Country:US
Practice Address - Phone:941-778-2641
Practice Address - Fax:941-779-2291
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT1064227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered