Seleznick, Mitchel

Seleznick, Mitchel is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd Mdc 80, Tampa FL 33612-4742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Seleznick, Mitchel can be contacted via phone (813) 974-2142.

Contact Information

Primary practice address
12901 Bruce B Downs Blvd Mdc 80 Tampa FL 33612-4742
Phone: (813) 974-2142
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME48643 Florida

Profile Details

NPI number 1740291004
LBN Legal business name Seleznick, Mitchel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 18th, 2008 - about 15 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 1740291004 NPPES
Florida Other 30938 BLUE CROSS BLUE SHIELD
Florida MEDICAID 046832100 BLUE CROSS BLUE SHIELD

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