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NPI Code Detail

MEDICARE: DR. STEVEN HOWARD SELZNICK D.O.

MEDICARE: DR. STEVEN HOWARD SELZNICK D.O.
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
1207Q00000XFamily Medicine PhysicianOS4294FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00960452OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3OS4294OTHERFLLICENSE NUMBER
4080148273OTHERFLPALMETTO GBA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669433926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN HOWARD SELZNICK D.O.
Provider Business Mailing Address
First Line : 985 SR 436
Second Line :
City : CASSELBERRY
State : FL
Zip : 32707-5664
Country : US
Telephone Number : 407-831-5252
Fax Number : 407-831-3765
Provider Business Practice Location Address
First Line : 985 SR 436
Second Line :
City : CASSELBERRY
State : FL
Zip : 32707-5664
Country : US
Telephone Number : 407-831-5252
Fax Number : 407-831-3765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 06/20/2014

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