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General NPI Number Information
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NPI Number | 1093766602
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Entity Type | Individual
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Provider Name | CLIFFORD ALLEN SELSKY
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 2830 CASA ALOMA WAY
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City | WINTER PARK
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State | FL
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Zip | 32792-2272
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Country | US
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Telephone | 407-335-4760
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Fax | 877-695-8583
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Provider Business Mailing Address
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Address Line | 2830 CASA ALOMA WAY
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City | WINTER PARK
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State | FL
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Zip | 32792-2272
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Country | US
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Telephone | 407-335-4760
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Fax | 877-695-8583
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | ME64462
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME64462
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License Number State | FL
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