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General NPI Number Information
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NPI Number | 1962685743
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Entity Type | Organization
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Legal Business Name | MICHELE L SELSOR INC
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 7744 66TH ST N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-3100
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Country | US
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Telephone | 727-321-9488
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Fax | 727-321-2033
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Provider Business Mailing Address
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Address Line | 5851 93RD AVE N
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City | PINELLAS PARK
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State | FL
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Zip | 33782-4905
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Country | US
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Telephone | 727-321-9488
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Fax | 727-321-2033
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELE L SELSOR
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Credential | DPM
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Telephone | 727-321-9488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO2916
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License Number State | FL
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