Healthcare Provider Details

I. General information

NPI: 1124127055
Provider Name (Legal Business Name): ANDREW A SELTZER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4215 BURNS ROAD SUITE 100
PALM BEACH GARDENS FL
33410-4627
US

IV. Provider business mailing address

4215 BURNS ROAD SUITE 200
PALM BEACH GARDENS FL
33410-4625
US

V. Phone/Fax

Practice location:
  • Phone: 561-694-7776
  • Fax: 561-694-3099
Mailing address:
  • Phone: 561-694-7776
  • Fax: 561-694-3099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberOS5301
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: