Organization
SIESTA PEDIATRIC ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM CHAN MD (OWNER)
(407) 319-5000
Entity
Organization
Contact information
Practice address
8427 LINDRICK LN, BRADENTON, FL 34202-4626
(407) 319-5000
Mailing address
PO BOX 1, TAMPA, FL 33601-0001
(407) 319-5000
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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