=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437155256
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANET L SEPER MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2005
-----------------------------------------------------
Last Update Date | 05/03/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | SCOTCH INSTITUTE OF EAR NOSE & THROAT 27406 CASHFORD CIRCLE
-----------------------------------------------------
City | WESLEY CHAPEL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33544-8199
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-994-8900
-----------------------------------------------------
Fax | 855-388-5350
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | SELECT PHYSICIANS ALLIANCE 10002 PRINCESS PALM AVE. STE 332
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33619-8327
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-571-7184
-----------------------------------------------------
Fax | 813-654-4695
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Y00000X
-----------------------------------------------------
Taxonomy Name | Otolaryngology Physician
-----------------------------------------------------
License Number | ME69860
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------