MEDICARE: SEEGOTT HEALTH 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	363LG0600X	Gerontology Nurse Practitioner

General Provider Information

NPI Number	:	1770266157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEGOTT HEALTH LLC

Provider Business Mailing Address
First Line	:	1165 SW 27TH ST
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-2907
Country	:	US
Telephone Number	:	772-255-6565
Fax Number	:	772-273-2096

Provider Business Practice Location Address
First Line	:	1165 SW 27TH ST
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-2907
Country	:	US
Telephone Number	:	772-255-6565
Fax Number	:	772-273-2096

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JENNIFER LYNN SEEGOTT
Credential	:	DNP
Telephone Number	:	772-559-9347

Provider Enumeration Date	:	08/10/2023
Last Update Date	:	02/07/2025

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Directions to “SEEGOTT HEALTH LLC ” Practice Location

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