Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 9134 | FL |
N | 111NN1001X | Nutrition | 9134 | FL |
NPI | 1578792529 |
---|---|
Provider Name | Dr. David Robert Seaman |
First Address | Ormond Beach, FL 32174-5663 |
Second Address | Ormond Beach, FL 32174-5663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 13/07/2009 |