Sornabala, Selwyn T

Sornabala, Selwyn T is an individual health care provider with primary practice located at 203 Westmoreland Cir , Kissimmee FL 34744-5463. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Sornabala, Selwyn T can be contacted via phone (407) 348-8886.

Contact Information

Primary practice address
203 Westmoreland Cir Kissimmee FL 34744-5463
Fax: (407) 348-4486
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME87926 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME87926 Florida

Profile Details

NPI number 1386621597
LBN Legal business name Sornabala, Selwyn T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jan 6th, 2016 - about 10 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 1386621597 NPPES
Florida MEDICAID 269334800

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