Provider Demographics
NPI:1104844059
Name:SESKIN, FLOYD E (MD)
Entity Type:Individual
Prefix:
First Name:FLOYD
Middle Name:E
Last Name:SESKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 NE 188TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4350
Mailing Address - Country:US
Mailing Address - Phone:305-792-6905
Mailing Address - Fax:305-792-6908
Practice Address - Street 1:21097 NE 27TH CT
Practice Address - Street 2:SUITE 101
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1204
Practice Address - Country:US
Practice Address - Phone:305-792-6905
Practice Address - Fax:305-792-6908
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60152208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL059603500Medicaid
FL12286OtherBLUE CROSS BLUE SHIELD
FL4203051OtherAETNA
FL001631OtherNHP
FL6002111OtherGHI
FL340009107OtherRAILROAD MEDICARE
FL205074OtherAVMED
FL721210004OtherCIGNA PROVIDER NUMBER
FL12286XMedicare PIN
FL001631OtherNHP
FL12286OtherBLUE CROSS BLUE SHIELD
FL205074OtherAVMED