Individual
MICHAEL S ZIEBELMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 E CENTRAL AVE, WINTER HAVEN, FL 33880-6311
(863) 299-5667
(863) 299-7722
Mailing address
222 E CENTRAL AVE, WINTER HAVEN, FL 33880-6311
(863) 299-5667
(863) 299-7722
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
AZ2801377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15965
BCBS
FL
01
—
15965U
PRUDENTIAL
FL
01
—
216065
AMERIGROUP
FL
01
—
240497
AVMED
FL
05
—
39834900
—
FL
01
—
4632856
AETNA
FL
01
—
59205699533880
TRICARE
FL
01
—
6451249-006
CIGNA
FL
Enumeration date
10/13/2005
Last updated
07/08/2007
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