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Organization

TAMPA BAY OPEN MRI (TAMPA)

Active
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Organization

TAMPA BAY OPEN MRI (TAMPA)

Active
Other names
SIEGFRIED K HOLZ MD PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SIEGFRIED K HOLZ MD (PRESIDENT)
(863) 646-8955
Entity
Organization

Contact information

Practice address
15511 N FLORIDA AVE, TAMPA, FL 33613-1263
(863) 646-8955
Mailing address
3830 S FLORIDA AVE, LAKELAND, FL 33813-1105
(813) 269-8722

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME40704
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2376434
AETNA
FL
01
V2923
BC/BS
FL
Enumeration date
10/25/2006
Last updated
08/22/2020
About Stedi
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  • Eligibility checks
  • EDI platform