Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | OS8976 | FL |
NPI | 1285614719 |
---|---|
Provider Name | Dr. Michael M Seto |
First Address | Winter Park, FL 32789-4740 |
Second Address | Winter Park, FL 32789-4740 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 13/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1285614719 | BLUE CROSS BLUE SHIELD (01) | AZ |
1285614719 | TRICARE (01) | AZ |
2382532 | UNITED HEALTHCARE (01) | AZ |
4Z9693 | HEALTH NET (01) | AZ |
7855567 | AETNA (01) | AZ |
H99602 | (02) | AZ |