Healthcare Provider Details

I. General information

NPI: 1326071069
Provider Name (Legal Business Name): KARLA SEIBERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 03/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 CYPRESS WAY E STE 10
NAPLES FL
34110-9275
US

IV. Provider business mailing address

90 CYPRESS WAY E STE 10
NAPLES FL
34110-9275
US

V. Phone/Fax

Practice location:
  • Phone: 239-513-2489
  • Fax: 877-519-0822
Mailing address:
  • Phone: 239-513-2489
  • Fax: 877-519-0822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME0049608
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: