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Individual

DR. RITA SIVILS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2025 INDIAN ROCKS RD S, LARGO, FL 33774-1035
(727) 581-9474
(813) 972-5753
Mailing address
3616 BERGER RD, LUTZ, FL 33548-4703
(813) 962-4159
(727) 507-3618

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS7243
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57854
BC/BS OF FLORIDA
FL
Enumeration date
07/19/2006
Last updated
02/13/2008
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