Individual
DR. IRA L SIEGMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
278 S MOON AVE, BRANDON, FL 33511-5711
(813) 661-7704
(813) 662-2134
Mailing address
278 S MOON AVE, BRANDON, FL 33511-5711
(813) 661-7704
(813) 662-2134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0062934
FL
Other
Enumeration date
11/07/2005
Last updated
07/09/2007
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