MEDICARE: DR. RANDI SUE SELIGMAN D.P.M.

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	213E00000X	Podiatrist	P00001626	FL

General Provider Information

NPI Number	:	1306971593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDI SUE SELIGMAN D.P.M.

Provider Business Mailing Address
First Line	:	6238 W ATLANTIC AVE
Second Line	:	STE. 4
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-3501
Country	:	US
Telephone Number	:	561-499-4900
Fax Number	:

Provider Business Practice Location Address
First Line	:	6238 W ATLANTIC AVE
Second Line	:	STE.4
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-3501
Country	:	US
Telephone Number	:	561-499-4900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	11/26/2013

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