MEDICARE: DR. OLGA KALIEBE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	ME129394	FL

General Provider Information

NPI Number	:	1003810417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLGA KALIEBE MD

Provider Business Mailing Address
First Line	:	2919 W SWANN AVE STE 105B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4049
Country	:	US
Telephone Number	:	813-392-1900
Fax Number	:	813-392-1901

Provider Business Practice Location Address
First Line	:	2919 W SWANN AVE STE 105B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4049
Country	:	US
Telephone Number	:	813-392-1900
Fax Number	:	813-392-1901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	01/29/2025

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Directions to “ DR. OLGA KALIEBE MD” Practice Location

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