Individual
MR. SIVAKUMAR V AMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 LITTLE ROAD, TRINITY, FL 34655-1811
(727) 375-0848
(727) 375-5548
Mailing address
3535 LITTLE ROAD, TRINITY, FL 34655-1811
(727) 375-0848
(727) 375-5548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0038311
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME0038311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008754
GHI
—
05
—
066422700
—
FL
01
—
08754
AETNA HUMANA
—
01
—
102775
METRA HEALTH
—
01
—
290014401
RAILROAD MEDICARE
—
01
—
51146
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/23/2005
Last updated
01/09/2013
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