Organization
SIEGFRIED K HOLZ MD PA
Active
Other names
LAKELAND OPEN MRI
Organization subpart
No
Provider details
NPI number
Authorized official
SIEGFRIED K HOLZ MD (PRESIDENT)
(863) 646-8955
Entity
Organization
Contact information
Practice address
3830 S FLORIDA AVE, LAKELAND, FL 33813-1105
(863) 646-8955
(863) 648-5216
Mailing address
3830 S FLORIDA AVE, LAKELAND, FL 33813-1105
(863) 646-8955
(863) 648-5216
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME40704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2376442
AETNA
FL
05
—
257741100
—
FL
01
—
47507W
MEDICARE
FL
01
—
V2922
BC/BS
FL
Enumeration date
11/02/2006
Last updated
12/04/2015
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