MEDICARE: PULMONARY SPECIALIST OF BOYNTON BEACH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RP1001X	Pulmonary Disease Physician
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	21840	OTHER	FL	BCBS GROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144398371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY SPECIALIST OF BOYNTON BEACH

Provider Business Mailing Address
First Line	:	2623 S SEACREST BLVD STE 214
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7532
Country	:	US
Telephone Number	:	561-731-2269
Fax Number	:

Provider Business Practice Location Address
First Line	:	2623 S SEACREST BLVD STE 214
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7532
Country	:	US
Telephone Number	:	561-731-2269
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD A. SEIDELMAN
Credential	:	M.D.
Telephone Number	:	561-731-2269

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	09/11/2025

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Directions to “PULMONARY SPECIALIST OF BOYNTON BEACH ” Practice Location

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