Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME36340 | FL |
Y | 111NI0900X | Internist | ME36340 | FL |
N | 207RA0401X | Internist - Addiction Medicine | ME36340 | FL |
N | 207RH0002X | Hospice and Palliative Medicine | ME36340 | FL |
NPI | 1891094025 |
---|---|
Provider Name | Dr. Allan Martin Selbst |
First Address | Plantation, FL 33322-4252 |
Second Address | Plantation, FL 33322-4252 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 06/09/2016 |