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Individual

DR. DEEPTAZ KAUR SIBIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
777 GLADES RD, BOCA RATON, FL 33431-6424
(561) 297-3512
Mailing address
11269 MISTY RIDGE WAY, BOYNTON BEACH, FL 33473-4895
(561) 301-5373

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9762
AZ
208D00000X
General Practice Physician
OS9762
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275004000
FL
05
947145
AZ
Enumeration date
11/02/2005
Last updated
09/18/2024
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