Organization Active NPI

Alan D Sirota DPM PA

  • Durable Medical Equipment & Medical Supplies
  • Casselberry, FL
National Provider Identifier
1891973145
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PO1395 Issued in FL
Legal business name
ALAN D SIROTA DPM PA
Practice address
2911 Red Bug Lake Rd Ste 300
Casselberry, FL 32707-5916
Phone
(407) 695-7075
Fax
(407) 695-2069
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alan Dale Sirota, DPM
Title
Owner/President
Phone
(407) 695-7075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PO1395 FL Primary

Addresses

Primary practice location

2911 Red Bug Lake Rd Ste 300
Casselberry, FL 32707-5916

Mailing address

2911 Red Bug Lake Rd Ste 300
Casselberry, FL 32707-5916
Phone (407) 695-7075

National Provider Directory

National Provider Directory

Locations

2911 Red Bug Lake Rd
Ste 300
Casselberry, FL 32707
Phone (407) 695-7075

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1891973145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 RED BUG LAKE RD STE 300",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075916",
            "telephone_number": "407-695-7075",
            "fax_number": "407-695-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 RED BUG LAKE RD STE 300",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075916",
            "telephone_number": "407-695-7075",
            "fax_number": "407-695-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN D SIROTA DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "SIROTA",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-695-7075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PO1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.