Individual
DR. SIEGFRIED KARL HOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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) 709-8426
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME40704
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME40704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257741100
—
FL
05
—
257741101
—
FL
05
—
257741102
—
FL
05
—
257741103
—
FL
01
—
V2920
BC/BS
FL
01
—
V2921
BC/BS
FL
01
—
V2922
BC/BS
FL
01
—
V2923
BC/BS
FL
Enumeration date
10/26/2007
Last updated
03/13/2025
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