Individual
PAUL ANTHONY SIEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4203 BELFORT RD, UFJP SOUTHSIDE DIGESTIVE AND LIVER, JACKSONVILLE, FL 32216-1409
(904) 633-0375
(904) 633-0376
Mailing address
PO BOX 44008, UFJP DEPT. OF MEDICINE, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME88218
FL
207RG0100X
Gastroenterology Physician
Primary
ME88218
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2680726-00
—
FL
05
—
875266679A
—
GA
01
—
P00081368
RAILROAD MEDICARE
FL
Enumeration date
03/04/2006
Last updated
01/05/2009
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