MEDICARE: MATTHEW SELDINE AU.D.

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	231H00000X	Audiologist	AY2050	FL

General Provider Information

NPI Number	:	1396196093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW SELDINE AU.D.

Provider Business Mailing Address
First Line	:	6110 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8405
Country	:	US
Telephone Number	:	561-638-6530
Fax Number	:	561-638-6531

Provider Business Practice Location Address
First Line	:	6110 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8405
Country	:	US
Telephone Number	:	561-638-6530
Fax Number	:	561-638-6531

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

Provider Enumeration Date	:	06/24/2016
Last Update Date	:	07/06/2016

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