Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME93135 | FL |
Y | 111NI0900X | Internist | ME93135 | FL |
N | 207RC0200X | Critical Care Medicine | ME93135 | FL |
N | 207RP1001X | Pulmonary Disease | ME93135 | FL |
NPI | 1043267909 |
---|---|
Provider Name | Denzil S Seedial |
First Address | Atlantis, FL 33462-6635 |
Second Address | Atlantis, FL 33462-6635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 14/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
272935100 | (05) | FL |
272935100 | PSN (01) | FL |
52335 | BLUE CROSS BLUE SHIELD (01) | FL |
I41571 | (02) | |
N333371 | WELLCARE (01) | FL |