Olga Kaliebe Md Llc | |
2919 W Swann Ave Ste 105b Tampa FL 33609-4049 | |
(813) 392-1900 | |
(813) 392-1901 |
Full Name | Olga Kaliebe Md Llc |
---|---|
Speciality | Internal Medicine |
Location | 2919 W Swann Ave Ste 105b, Tampa, Florida |
Authorized Official Name and Position | Olga Kaliebe (PHYSICIAN/ OWNER) |
Authorized Official Contact | 5047228772 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Olga Kaliebe Md Llc 2919 W Swann Ave Ste 105b Tampa FL 33609-4049 Ph: (813) 392-1900 | Olga Kaliebe Md Llc 2919 W Swann Ave Ste 105b Tampa FL 33609-4049 Ph: (813) 392-1900 |
NPI Number | 1144848292 |
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Provider Enumeration Date | 07/06/2020 |
Last Update Date | 01/30/2025 |
Medicare PECOS PAC ID | 0042638306 |
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Medicare Enrollment ID | O20200918000039 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144848292 | NPI | - | NPPES |
021689100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Olga Kaliebe |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1003810417 PECOS PAC ID: 5193780344 Enrollment ID: I20170905003244 |
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