Healthcare Provider Details

I. General information

NPI: 1487436382
Provider Name (Legal Business Name): SEHTEJ LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 CYPRESS POINT PKWY STE 101
PALM COAST FL
32164-8427
US

IV. Provider business mailing address

5048 FIORELLA LN
SANFORD FL
32771-5445
US

V. Phone/Fax

Practice location:
  • Phone: 386-717-0081
  • Fax:
Mailing address:
  • Phone: 386-717-0081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State

VIII. Authorized Official

Name: HARWINDER KAUR
Title or Position: OWNER/ MANAGER
Credential:
Phone: 386-717-0081