Michael Anthony Sisbarro in Jacksonville - School

Michael Anthony Sisbarro - NPI 1699827808

Michael Anthony Sisbarro is a School in Jacksonville, Florida. Michael Anthony Sisbarro practices all healthcare services and medical treatments related to School. The NPI Number for Michael Anthony Sisbarro is 1699827808. The last update date is 2007-07-08.

Michael Anthony Sisbarro's current location address is 3601 Hendricks Avenue, Jacksonville, Florida. You can contact this provider via phone number 9043962666 and fax number 9043962698. The mailing address for Michael Anthony Sisbarro is 3601 Hendricks Avenue, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Anthony Sisbarro
Address 3601 Hendricks Avenue, Jacksonville, Florida
Phone Number 9043962666
Fax Number 9043962698
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1699827808
Provider Enumeration Date 2007-01-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3601 Hendricks Avenue
City Jacksonville
State Florida (FL)
Post Code 32207
Phone Number 9043962666
Fax Number 9043962698

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 103Ts0200X
Licence No SS313
Definition:
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z9890 FL BLUE CROSS BLUE SHIELD
9074711 PRIVATE HEALTH CARE SYSTE

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FAQs about Michael Anthony Sisbarro

What is the unique provider identifier assigned to Michael Anthony Sisbarro?

The Michael Anthony Sisbarro has been issued the NPI (National Provider Identifier) 1699827808 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Michael Anthony Sisbarro is physically located?

The Michael Anthony Sisbarro is physically situated at the following address: 3601 Hendricks Avenue, Jacksonville, FL, 32207.

What is the Michael Anthony Sisbarro's area of specialization and corresponding taxonomy classification?

The Michael Anthony Sisbarro's specialty field is School, and it falls under the taxonomy code 103Ts0200X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1699827808 to Michael Anthony Sisbarro?

The Centers for Medicare & Medicaid Services assigned the 1699827808 to Michael Anthony Sisbarro on 2007-01-17.

When was the information pertaining to Michael Anthony Sisbarro most recently updated or revised?

The details related to Michael Anthony Sisbarro, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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