Healthcare Provider Details

I. General information

NPI: 1992186639
Provider Name (Legal Business Name): RYAN TERRENCE SEVEL M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 14TH ST
MIAMI FL
33136-2107
US

IV. Provider business mailing address

1120 NW 14TH ST
MIAMI FL
33136-2107
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-9124
  • Fax: 305-243-1538
Mailing address:
  • Phone: 305-243-9124
  • Fax: 305-243-1538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberME135805
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: