Forman, Seth B

Forman, Seth B is an individual health care provider with primary practice located at 4915 Ehrlich Rd , Tampa FL 33624-2038. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Forman, Seth B can be contacted via phone (813) 960-2400.

Contact Information

Primary practice address
4915 Ehrlich Rd Tampa FL 33624-2038
Phone: (813) 960-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X ME96509 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME96509 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME96509 Florida

Profile Details

NPI number 1346304540
LBN Legal business name Forman, Seth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Sep 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346304540 NPPES
Florida Other 0013507 CIGNA
Florida Other 7110910 CIGNA
Florida Other 592235385 CIGNA
Florida Other 93048 CIGNA
Florida MEDICAID 010196800 CIGNA
Florida Other 592235385 CIGNA

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