Healthcare Provider Details

I. General information

NPI: 1487498556
Provider Name (Legal Business Name): DANA SCOT SEALANDER DNP, CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2024
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 S SEACREST BLVD
BOYNTON BEACH FL
33435-7969
US

IV. Provider business mailing address

2815 S SEACREST BLVD
BOYNTON BEACH FL
33435-7995
US

V. Phone/Fax

Practice location:
  • Phone: 607-846-8913
  • Fax:
Mailing address:
  • Phone: 607-846-8913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11047598
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: