Organization
MARIANO D CIBRAN, MD CORP DBA ST PETERSBURG PEDIATRICS
Active
Parent organization
MARIANO CIBRAN, MD CORP DBA ST PETERSBURG PEDIATRICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARIANO CIBRAN, MD CORP DBA ST PETERSBURG PEDIATRICS
Authorized official
KELLY MCPHAIL (ADMINISTRATOR)
(727) 526-9135
Entity
Organization
Contact information
Practice address
3475 E BAY DR, LARGO, FL 33771-5905
(727) 535-9700
Mailing address
2115 CENTRAL AVE, ST PETERSBURG, FL 33713-8815
(727) 526-9135
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373318105
—
FL
Enumeration date
05/26/2021
Last updated
05/26/2021
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