# RAUL SIERRA MD PA

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

## Provider details

- **NPI number:** 1255642989
- **Authorized official:** MRS. MARTHA SIERRA (MANAGER)
- **Authorized official phone:** (813) 877-7526

## Contact information

- **Practice address:** 4129 N ARMENIA AVE, SUITE B, TAMPA, FL 33607-6436
- **Practice address phone:** (813) 877-7526
- **Practice address fax:** (813) 873-8469
- **Mailing address:** 4129 N ARMENIA AVE, SUITE B, TAMPA, FL 33607-6436
- **Mailing address phone:** (813) 877-7526
- **Mailing address fax:** (813) 873-8469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME24563 | FL | Yes |

## Other

- **Enumeration date:** 06/28/2010
- **Last updated:** 06/28/2010