Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME 75658 | FL |
N | 207RI0011X | Interventional Cardiology | ME 75658 | FL |
NPI | 1063456127 |
---|---|
Provider Name | Jonathan Seckler |
First Address | Boca Raton, FL 33431-6465 |
Second Address | Boca Raton, FL 33431-6465 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 16/03/2011 |