Healthcare Provider Details

I. General information

NPI: 1104809953
Provider Name (Legal Business Name): MARTIN L SILBIGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/25/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 ALUMNI DR
TAMPA FL
33612-9413
US

IV. Provider business mailing address

3301 ALUMNI DR
TAMPA FL
33612-9413
US

V. Phone/Fax

Practice location:
  • Phone: 913-972-3351
  • Fax: 813-903-9541
Mailing address:
  • Phone: 913-972-3351
  • Fax: 813-903-9541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License NumberCERTIFICATION #01371
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME14159
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: