Healthcare Provider Details

I. General information

NPI: 1700257359
Provider Name (Legal Business Name): UNITED HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2015
Last Update Date: 10/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

393 CENTERPOINTE CIR SUITE 1483
ALTAMONTE SPRINGS FL
32701-3453
US

IV. Provider business mailing address

393 CENTERPOINTE CIR SUITE 1483
ALTAMONTE SPRINGS FL
32701-3453
US

V. Phone/Fax

Practice location:
  • Phone: 321-280-3949
  • Fax: 321-280-3950
Mailing address:
  • Phone: 321-280-3949
  • Fax: 321-280-3950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. WALTER L SEIFERT
Title or Position: MANAGER
Credential: M.D.
Phone: 321-280-3949