TODD SISTO MD PA NPI 1912049628

NPI Information

NPI: 1912049628
Provider Name: TODD SISTO MD PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
131 S CITRUS AVE
SUITE 307
INVERNESS, FL
ZIP 34452
Phone: (352) 344-9400
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TODD SISTO MD PA is a specialist in Inverness, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TODD SISTO MD PA NPI is 1912049628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

131 S CITRUS AVE
SUITE 307
INVERNESS, FL
ZIP 34452-701
Phone: (352) 344-9400
Fax: (352) 344-9086

The provider's authorized official is Todd Sisto .
The authorized official title is President and has the following contact phone number (352) 344-9400.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 3/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		ME62935	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E89743	MEDICARE UPIN	FLORIDA
2	18176	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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