Individual
MEGAN ROBERTA SPIEWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 259-8725
(813) 259-8792
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME141043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103598700
—
FL
01
—
SO5L7
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/07/2015
Last updated
02/08/2021
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