Provider Demographics
NPI:1144610833
Name:PAUL D SELTZER DO
Entity Type:Organization
Organization Name:PAUL D SELTZER DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SELTZER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-848-0330
Mailing Address - Street 1:2051 45TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2027
Mailing Address - Country:US
Mailing Address - Phone:561-848-0330
Mailing Address - Fax:561-848-0420
Practice Address - Street 1:2051 45TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2027
Practice Address - Country:US
Practice Address - Phone:561-848-0330
Practice Address - Fax:561-848-0420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0004888207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD27389Medicare UPIN