Provider Demographics
NPI:1083445985
Name:PINCUS, SYDNEY JACQUELYN (DPT)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:JACQUELYN
Last Name:PINCUS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4812
Mailing Address - Country:US
Mailing Address - Phone:561-317-8980
Mailing Address - Fax:
Practice Address - Street 1:225 S DIXIE HWY APT 909
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33133-4816
Practice Address - Country:US
Practice Address - Phone:561-317-8980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL41877225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist