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Organization

JEROME SIEGMEISTER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEROME ARON SIEGMEISTER MD (OWNER)
(305) 666-7225
Entity
Organization

Contact information

Practice address
3850 BIRD RD FL 10, MIAMI, FL 33146-1501
(305) 666-7225
Mailing address
7712 ALTAMIRA AVE, CORAL GABLES, FL 33143-6244
(305) 666-7225

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME142120
LICENSE
FL
Enumeration date
01/08/2022
Last updated
01/08/2022
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