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MARIANO D CIBRAN MD CORP DBA ST PETERSBURG PEDIATRICS NPI 1578640181


NPI Information

NPI: 1578640181
Provider Name: MARIANO D CIBRAN, MD CORP DBA ST PETERSBURG PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2115 CENTRAL AVE
ST PETERSBURG, FL
ZIP 33713
Phone: (727) 526-9135
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MARIANO D CIBRAN, MD CORP DBA ST PETERSBURG PEDIATRICS is a pediatrics in St Petersburg, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MARIANO D CIBRAN, MD CORP DBA ST PETERSBURG PEDIATRICS NPI is 1578640181. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2115 CENTRAL AVE
ST PETERSBURG, FL
ZIP 33713-815
Phone: (727) 526-9135
Fax: (727) 526-4346

The provider's authorized official is Mariano D Cibran .
The authorized official title is President and has the following contact phone number (727) 526-9135.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 9/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatricsNo
2208000000XPediatricsME27935FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1373318100MEDICAIDFLORIDA
233499OTHERFLORIDABLUE CROSS BLUE SHIELD
3373318103MEDICAIDFLORIDA
4373318106MEDICAIDFLORIDA
5373318105MEDICAIDFLORIDA
6373318107MEDICAIDFLORIDA
7373318102MEDICAIDFLORIDA
8373318101MEDICAIDFLORIDA
9373318104MEDICAIDFLORIDA
10373318108MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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