MEDICARE: MARY ELIZABETH SEAY 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	208000000X	Pediatrics Physician	ME14752	FL

General Provider Information

NPI Number	:	1831100775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELIZABETH SEAY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 12427
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-2427
Country	:	US
Telephone Number	:	850-297-0114
Fax Number	:	850-297-2020

Provider Business Practice Location Address
First Line	:	2390 PHILLIPS RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5326
Country	:	US
Telephone Number	:	850-487-2604
Fax Number	:

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/08/2007

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