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Organization
SIVA MD PA
Active
Organization
SIVA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RATNASABAPATHY SIVASEKARAN MD (OWNER)
(352) 369-5300
Entity
Organization
Contact information
Practice address
2845 SE 3RD CT, OCALA, FL 34471
(352) 369-5300
(352) 369-5309
Mailing address
2845 SE 3RD CT, OCALA, FL 34471
(352) 369-5300
(352) 369-5309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME90344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000WQ
BCBS
FL
05
—
270559100
—
FL
Enumeration date
09/15/2006
Last updated
10/14/2010
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