Individual
OLIVIA JOSEFINA SIFONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
4001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33614-7011
(813) 876-1605
(813) 876-1620
Mailing address
4001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33614-7011
(813) 876-1605
(813) 876-1620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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