Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | ME135965 | FL |
N | 207VX0201X | Gynecologic Oncologist | 4301092907 | MI |
Y | 207VX0201X | Gynecologic Oncologist | ME135965 | FL |
NPI | 1053528299 |
---|---|
Provider Name | Dr. Shelly Marie Seward |
First Address | Orlando, FL 32803-2948 |
Second Address | Orlando, FL 32803-2948 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 21/05/2020 |