MEDICARE: ROBERT SEILER LLC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	2017003049	FL

General Provider Information

NPI Number	:	1568905404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT SEILER LLC

Provider Business Mailing Address
First Line	:	106 LAKE EMERALD DR
Second Line	:	SUITE 411
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309-6279
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3047 NW 60TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-2254
Country	:	US
Telephone Number	:	954-557-0031
Fax Number	:	954-507-6936

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BOBBY SEILER
Credential	:
Telephone Number	:	954-557-0031

Provider Enumeration Date	:	11/27/2016
Last Update Date	:	04/15/2021

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