Provider Demographics
NPI:1568424075
Name:SIAMBANES, DAVID (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:SIAMBANES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 W DR MLK JR BLVD
Mailing Address - Street 2:MAB 3RD FLR
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:813-554-8983
Mailing Address - Fax:813-443-8177
Practice Address - Street 1:3003 E. DR. MARTIN LUTHER KING JR. BLVD.
Practice Address - Street 2:MAB-3RD FLOOR
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6307
Practice Address - Country:US
Practice Address - Phone:813-554-8983
Practice Address - Fax:813-554-8992
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10633207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001061100Medicaid
FL001061100Medicaid