Healthcare Provider Details

I. General information

NPI: 1649188681
Provider Name (Legal Business Name): PRIME HEALTH OF SOUTH FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9868 PALMA VISTA WAY
BOCA RATON FL
33428-3500
US

IV. Provider business mailing address

9868 PALMA VISTA WAY
BOCA RATON FL
33428-3500
US

V. Phone/Fax

Practice location:
  • Phone: 917-837-6878
  • Fax:
Mailing address:
  • Phone: 917-837-6878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID SELZER
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 917-837-6878