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NPI Code Detail

MEDICARE: NORMAN B SELTZER,M.D.PA

MEDICARE: NORMAN B SELTZER,M.D.PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XP3100XPediatric Orthopaedic Surgery PhysicianME0060285FL
2207XP3100XPediatric Orthopaedic Surgery PhysicianME0037891FL

General Provider Information

NPI Number : 1124245691
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORMAN B SELTZER,M.D.PA
Provider Business Mailing Address
First Line : 614 N PENINSULA DR
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32118-3829
Country : US
Telephone Number : 386-257-2602
Fax Number : 386-257-2329
Provider Business Practice Location Address
First Line : 614 N PENINSULA DR
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32118-3829
Country : US
Telephone Number : 386-257-2602
Fax Number : 386-257-2329
Authorized Official
Title or Position : OWNER
Name : DR. NORMAN B SELTZER
Credential : MD
Telephone Number : 386-257-2602
Provider Enumeration Date : 04/19/2007
Last Update Date : 12/11/2012

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