Organization
MARIANO D CIBRAN, MD CORP DBA ST PETERSBURG PEDIATRICS
Active
Parent organization
MARIANO D CIBRAN, MD CORP DBA ST PETERSBURG PEDIATRICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARIANO D CIBRAN, MD CORP DBA ST PETERSBURG PEDIATRICS
Authorized official
KELLY MCPHAIL (ADMINISTRATOR)
(727) 526-9135
Entity
Organization
Contact information
Practice address
7050 SEMINOLE BLVD, SEMINOLE, FL 33772-5931
(727) 392-8033
(727) 392-9578
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
—
373318101
—
FL
Enumeration date
05/26/2021
Last updated
05/27/2021
Update your record
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