| Organization Name: | SYD ASSOCIATES, PA |
| NPI Number: | 1073998464 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS HICKEY (PRESIDENT) |
| Mailing Address: | 10696 Sw Village Pkwy Port Saint Lucie |
| State: | FL US |
| Postal Code: | 349872358 |
| Phone Number: | 7723804490 |
| Fax Number: | 7723804493 |
| NPI Enumeration Date: | 07/27/2015 |
| NPI Last Update Date: | 07/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DN11997 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |