Healthcare Provider Details

I. General information

NPI: 1750657383
Provider Name (Legal Business Name): ROBERT PATRICK SEIFERT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD BOX 100275
GAINESVILLE FL
32610-4742
US

IV. Provider business mailing address

1600 SW ARCHER RD BOX 100275
GAINESVILLE FL
32610-0275
US

V. Phone/Fax

Practice location:
  • Phone: 813-974-3680
  • Fax:
Mailing address:
  • Phone: 352-273-7839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License NumberME123797
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME123797
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: