Healthcare Provider Details

I. General information

NPI: 1801064530
Provider Name (Legal Business Name): SETH W. RATNER DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34921 US HIGHWAY 19 N #400
PALM HARBOR FL
34684-1970
US

IV. Provider business mailing address

34921 US HIGHWAY 19 N #400
PALM HARBOR FL
34684-1970
US

V. Phone/Fax

Practice location:
  • Phone: 727-785-8338
  • Fax:
Mailing address:
  • Phone: 727-785-8338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License NumberPO1891
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPO1891
License Number StateFL

VIII. Authorized Official

Name: DR. SETH W RATNER
Title or Position: PODIATRIST
Credential: DPM
Phone: 727-785-8338