Individual
DR. FREDERIC C. SIORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-2298
(727) 581-8767
(727) 559-0594
Mailing address
10011 WALTZING LN, LARGO, FL 33778-3434
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME82663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262919400
—
FL
Enumeration date
11/20/2006
Last updated
12/13/2019
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