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Organization
SIEVERT CLINIC, LLC
Active
Organization
SIEVERT CLINIC, LLC
Active
Other names
Sievert Clinic & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D. SIEVERT D.C. (PRESIDENT)
(239) 936-1233
Entity
Organization
Contact information
Practice address
3880 COLONIAL BLVD, SUITE 1A, FORT MYERS, FL 33966-1062
(239) 936-1233
(239) 936-8576
Mailing address
3880 COLONIAL BLVD, SUITE 1A, FORT MYERS, FL 33966-1062
(239) 936-1233
(239) 936-8576
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3599
FL
207Q00000X
Family Medicine Physician
OS9565
FL
363LF0000X
Family Nurse Practitioner
ARNP2826072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77550
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/12/2006
Last updated
09/23/2013
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