Healthcare Provider Details

I. General information

NPI: 1992756753
Provider Name (Legal Business Name): ORIN ALDO SEAGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 REDSTONE AVE SE PINNACLE PHYISICIANS LLC
CRESTVIEW FL
32539
US

IV. Provider business mailing address

8201 UNIVERSITY PARKWAY PINNACLE PHYSICIANS LLC
PENSACOLA FL
32514
US

V. Phone/Fax

Practice location:
  • Phone: 850-474-8100
  • Fax: 850-474-8083
Mailing address:
  • Phone: 850-474-8100
  • Fax: 850-474-8083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME17422
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: