Individual
MICHAEL SIEDLECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 5TH AVE N, STE 302, ST PETERSBURG, FL 33705-1457
(727) 821-2388
(727) 821-6887
Mailing address
1201 5TH AVE N, STE 302, ST PETERSBURG, FL 33705-1457
(727) 821-2388
(727) 821-6887
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME40222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3900010208
RAILROAD RETIREMENT MEDIC
—
Enumeration date
12/13/2005
Last updated
10/26/2007
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