Organization
MARIANO D CIBRAN, MD CORP DBA ST PETERSBURG PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANO D CIBRAN MD (PRESIDENT)
(727) 526-9135
Entity
Organization
Contact information
Practice address
2115 CENTRAL AVE, ST PETERSBURG, FL 33713-8815
(727) 526-9135
(727) 526-4346
Mailing address
2115 CENTRAL AVE, ST PETERSBURG, FL 33713-8815
(727) 526-9135
(727) 526-4346
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME27935
FL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33499
BLUE CROSS BLUE SHIELD
FL
05
—
373318100
—
FL
05
—
373318101
—
FL
05
—
373318102
—
FL
05
—
373318103
—
FL
05
—
373318104
—
FL
05
—
373318105
—
FL
05
—
373318106
—
FL
05
—
373318107
—
FL
05
—
373318108
—
FL
Enumeration date
11/01/2006
Last updated
09/15/2021
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