Individual
DR. ANDREW M SIEDLECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 5TH AVE N STE 302, SAINT PETERSBURG, FL 33705-1425
(314) 243-2143
(855) 583-3781
Mailing address
PO BOX 7898, ST PETERSBURG, FL 33734-7898
(314) 243-2143
(855) 583-3781
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
2009015711
MO
207RN0300X
Nephrology Physician
Primary
ME102550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113449100
—
FL
Enumeration date
05/15/2007
Last updated
12/14/2024
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