Healthcare Provider Details

I. General information

NPI: 1831982586
Provider Name (Legal Business Name): SEWARD PAUL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16017 NE 9TH AVE
NORTH MIAMI BEACH FL
33162-4409
US

IV. Provider business mailing address

16017 NE 9TH AVE
NORTH MIAMI BEACH FL
33162-4409
US

V. Phone/Fax

Practice location:
  • Phone: 786-290-3596
  • Fax:
Mailing address:
  • Phone: 786-290-3596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11043496
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95199726
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: