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Organization
RICHARD LAWRENCE SIEGEL, M.D., P.A.
Active
Organization
RICHARD LAWRENCE SIEGEL, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LAWRENCE SIEGEL M.D., PH.D. (OWNER/PRESIDENT)
(813) 972-3131
Entity
Organization
Contact information
Practice address
3450 EAST FLETCHER AVENUE, SUITE 210, TAMPA, FL 33613-4655
(813) 972-3131
(613) 972-0773
Mailing address
3450 EAST FLETCHER AVENUE, SUITE 210, TAMPA, FL 33613-4655
(813) 972-3131
(613) 972-0773
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME37894
FL
Other
Enumeration date
03/07/2011
Last updated
06/15/2011
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