Most Relevant Information
Provider Data
| NPI Number: | 1003814435 |
| Provider Name: | GEORGE S SIDHOM M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208VP0014X |
| Specialty: | Pain Medicine |
| License Number: | ME0066412 |
Most Important Dates
| Enumeration Date: | 07/11/2005 |
| Last Updated: | 09/21/2011 |
Provider Practice Location
5193 MARINER BLVD
SPRING HILL
FL
346091834
Practice Location Phone/Fax
| Phone: | 3526886393 |
| Fax: | 3526881113 |
Provider Mailing Location
PO BOX 10478
BROOKSVILLE
FL
346030478
Provider Mailing Phone/Fax
| Phone: | 3526886393 |
| Fax: | 3526881113 |