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NPI Code Detail

MEDICARE: SETH I GASSER MD

MEDICARE: SETH I GASSER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianME57619FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5200029276OTHERFLMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21395394OTHERFLCIGNA
318833OTHERFLBCBS OF FL
4206908OTHERFLAVMED
64241380OTHERFLAETNA
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164427878
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETH I GASSER MD
Provider Business Mailing Address
First Line : 13020 N TELECOM PKWY
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-0925
Country : US
Telephone Number : 813-978-9700
Fax Number : 813-972-5055
Provider Business Practice Location Address
First Line : 13020 N TELECOM PKWY
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-0925
Country : US
Telephone Number : 813-978-9700
Fax Number : 813-972-5055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 10/12/2017

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Directions to “ SETH I GASSER MD” Practice Location

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