MEDICARE: NORMAN B. SELTZER MD PA

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	207X00000X	Orthopaedic Surgery Physician	ME0037891	FL

General Provider Information

NPI Number	:	1922449271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORMAN B. SELTZER MD PA

Provider Business Mailing Address
First Line	:	614 N PENINSULA DR
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32118-3829
Country	:	US
Telephone Number	:	386-257-2602
Fax Number	:	386-257-2329

Provider Business Practice Location Address
First Line	:	614 N PENINSULA DR
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32118-3829
Country	:	US
Telephone Number	:	386-257-2602
Fax Number	:	386-257-2329

Authorized Official
Title or Position	:	PRESENT
Name	:	DR. NORMAN BROMO SELTZER
Credential	:	MD
Telephone Number	:	386-257-2602

Provider Enumeration Date	:	07/16/2013
Last Update Date	:	07/16/2013

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