Individual
MS. JOAN E SIRACUSE
Active
Individual
MS. JOAN E SIRACUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME54536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051624400
—
FL
01
—
07777
BCBS OF FLORIDA
FL
01
—
202003321-00
BETTER WORKERS COMPENSATION
FL
01
—
892750860
CLINICIAN PROVIDER NUMBER
FL
01
—
99112405
HIRSP PROVIDER NUMBER
FL
01
—
N178075
WELLCARE PROVIDER ID
FL
01
—
P00176778
RAILROAD MEDICARE
FL
Enumeration date
11/14/2005
Last updated
05/20/2008
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