Individual
MR. BENJAMIN DAVID SICLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 351-1745
Mailing address
5350 BRIDGE ST APT 4305, TAMPA, FL 33611-3288
(912) 409-2980
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
13965
GA
367H00000X
Anesthesiologist Assistant
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2021
Last updated
07/08/2026
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