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Individual

CARLA SIEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11005563
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105690900
FL
01
4Z09T
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/17/2020
Last updated
11/05/2024
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