Provider Demographics
NPI:1144587841
Name:PURCELL, SETH TA'AGAMANUSINA (MD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:TA'AGAMANUSINA
Last Name:PURCELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10441 QUALITY DR STE 205
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-9652
Mailing Address - Country:US
Mailing Address - Phone:801-472-3563
Mailing Address - Fax:727-755-0926
Practice Address - Street 1:10441 QUALITY DR STE 205
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-9652
Practice Address - Country:US
Practice Address - Phone:352-770-8346
Practice Address - Fax:727-755-0926
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2022-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXR3188208600000X
FLME1539522086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgery