| Olga Kaliebe Md Llc | |
|
2823 W Fountain Blvd Tampa FL 33609-4011 | |
| (504) 722-8772 | |
| (727) 265-3420 |
| Full Name | Olga Kaliebe Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2823 W Fountain Blvd, Tampa, Florida |
| Authorized Official Name and Position | Olga Kaliebe (OWNER/PRESIDENT) |
| 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 Po Box 49106 Saint Petersburg FL 33743-9106 Ph: (727) 269-5618 | Olga Kaliebe Md Llc 2823 W Fountain Blvd Tampa FL 33609-4011 Ph: (504) 722-8772 |
| NPI Number | 1144848292 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 07/06/2020 |
| Medicare PECOS PAC ID | 0042638306 |
|---|---|
| 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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