MEDICARE: EDUARDO J SEQUEIRA MD 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
1	207R00000X	Internal Medicine Physician	ME0078293	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275972564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDUARDO J SEQUEIRA MD PA

Provider Business Mailing Address
First Line	:	79 SATINWOOD LN
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-1601
Country	:	US
Telephone Number	:	561-889-7927
Fax Number	:	561-345-3583

Provider Business Practice Location Address
First Line	:	79 SATINWOOD LN
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-1601
Country	:	US
Telephone Number	:	561-889-7927
Fax Number	:	561-345-3583

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	EDUARDO J SEQUEIRA
Credential	:	MD
Telephone Number	:	561-889-7927

Provider Enumeration Date	:	06/19/2013
Last Update Date	:	06/19/2013

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