DR. IRA L SIEGMAN, M.D.
Medical Practice at Moon Ave, Brandon, FL

License number
Florida ME0062934
Category
Medical Practice
Type
Specialist
Address
Address
278 S Moon Ave, Brandon, FL 33511
Phone
(813) 661-7704
(813) 662-2134 (Fax)
National Provider ID: 1114908233
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about IRA L SIEGMAN at bizstanding.com

IRA L. SIEGMAN, M.D., PA

278 S Moon Ave, Brandon, FL 33511

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Jun 29, 1998
Inactive since:
Nov 26, 2007
State ID:
P98000057932
Business type:
Florida Profit Corporation
Director:
Ira L Siegman Director, inactive, 278 S Moon Ave, Brandon, FL 33511 (Physical)
Agent:
Ira Siegman,278 S Moon Ave, Brandon, FL 33511 (Physical)
EIN:
59-3519555

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