MEDICARE: ZSUZSANNA VEREBELYI SEYBOLD M.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	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	ME90616	FL
2	208D00000X	General Practice Physician	ME90616	FL

General Provider Information

NPI Number	:	1457555856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZSUZSANNA VEREBELYI SEYBOLD M.D.

Provider Business Mailing Address
First Line	:	500 SE 17TH ST STE 325
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2547
Country	:	US
Telephone Number	:	954-415-3161
Fax Number	:	954-636-8636

Provider Business Practice Location Address
First Line	:	500 SE 17TH ST STE 325
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2547
Country	:	US
Telephone Number	:	954-415-3161
Fax Number	:

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

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	07/01/2021

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