Organization
SIEGFRIED K HOLZ MD PA
Active
Other names
LAKELAND OPEN MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIEGFRIED K HOLZ MD (PRESIDENT)
(863) 646-8955
Entity
Organization
Contact information
Practice address
3830 S FLORIDA AVE, LAKELAND, FL 33813-1105
(863) 646-8955
(863) 648-5216
Mailing address
3830 S FLORIDA AVE, LAKELAND, FL 33813-1105
(863) 646-8955
(863) 648-5216
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME40704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2376427
AETNA - BRANDON
FL
01
—
2376434
AETNA TAMPA
FL
01
—
2376442
AETNA - LAKELAND
FL
05
—
2577411
—
FL
05
—
257741100
—
FL
05
—
257741101
—
FL
05
—
257741102
—
FL
05
—
257741103
—
FL
01
—
V2920
BCBS - SUN CITY CENTER
FL
01
—
V2921
BCBS - BRANDON
FL
01
—
V2922
BCBS - LAKELAND
FL
01
—
V2923
BCBS - TAMPA
FL
Enumeration date
10/12/2006
Last updated
12/04/2015
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