Individual
DR. BRENT SEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, UFJP OB/GYN, JACKSONVILLE, FL 32209-6511
(904) 244-5626
(904) 244-3658
Mailing address
PO BOX 44008, UPJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME70647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00086172
RAILROAD MEDICARE
FL
Enumeration date
02/28/2006
Last updated
08/27/2007
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