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Individual

DR. BRENT DAVID SIEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-2285
(386) 425-1304
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-2285
(386) 425-1304

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME84540
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
264687100
FL
01
ME84540
STATE MEDICAL LICENSE
FL
Enumeration date
09/04/2006
Last updated
04/05/2010
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