# RICHARD LAWRENCE SIEGEL, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255639886
- **Authorized official:** DR. RICHARD LAWRENCE SIEGEL M.D., PH.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (813) 972-3131

## Contact information

- **Practice address:** 3450 EAST FLETCHER AVENUE, SUITE 210, TAMPA, FL 33613-4655
- **Practice address phone:** (813) 972-3131
- **Practice address fax:** (613) 972-0773
- **Mailing address:** 3450 EAST FLETCHER AVENUE, SUITE 210, TAMPA, FL 33613-4655
- **Mailing address phone:** (813) 972-3131
- **Mailing address fax:** (613) 972-0773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | ME37894 | FL | Yes |

## Other

- **Enumeration date:** 03/07/2011
- **Last updated:** 06/15/2011