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Individual

RICHARD R SIEVING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5884
(352) 674-5060
(352) 674-5001
Mailing address
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5884
(352) 674-5060
(352) 674-5001

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME58805
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10721084
CAQH
FL
01
1930642
CIGNA
FL
01
269859500
MEDICAID GROUP
FL
05
278475100
FL
01
42792
BCBS OF FL
FL
01
77940
BCBS OF FL GROUP ID
FL
01
CF1416
MEDICARE RR GROUP
FL
01
ME58805
STATE MEDICAL LICENSE
FL
01
P00357447
MEDICARE RR
FL
Enumeration date
07/05/2005
Last updated
03/30/2011
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