MEDICARE: JOEL SEIN

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	163W00000X	Registered Nurse	RN9435984	FL

General Provider Information

NPI Number	:	1801738638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL SEIN

Provider Business Mailing Address
First Line	:	369 HOLLY BERRY DR
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33897-8531
Country	:	US
Telephone Number	:	352-459-4720
Fax Number	:

Provider Business Practice Location Address
First Line	:	369 HOLLY BERRY DR
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33897-8531
Country	:	US
Telephone Number	:	352-459-4720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/10/2026

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