| Doctor Name: | SUNNY SIA |
| NPI Number: | 1760842280 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | ARNP9315395 |
| Business Practice Address: | 400 Frandorson Cir 103 Apollo Beach, FL - 335722688 |
| Business Phone Number: | 8133980470 |
| Business Fax Number: | |
| Mailing Address: | 400 Frandorson Cir, 103 APOLLO BEACH |
| State: | FL |
| Postal Code: | 335722688 |
| Phone Number: | 8133980470 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2016 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | ARNP9315395 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |