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General NPI Number Information
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NPI Number | 1902035652
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Entity Type | Individual
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Provider Name | JEFF E SELLMAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 909 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33609-1251
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Country | US
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Telephone | 813-978-9700
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Fax | 813-558-6187
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Provider Business Mailing Address
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Address Line | 5901 E FOWLER AVE STE 100
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-2305
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Country | US
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Telephone | 813-978-9700
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Fax | 813-558-6187
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | ME116316
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License Number State | FL
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