Provider Demographics
NPI:1417157066
Name:SEDA, ALEX JOSE (MD)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:JOSE
Last Name:SEDA
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 1:16803 CARAVAGGIO LOOP
Mailing Address - Street 2:
Mailing Address - City:MONTVERDE
Mailing Address - State:FL
Mailing Address - Zip Code:34756-3720
Mailing Address - Country:US
Mailing Address - Phone:787-433-6621
Mailing Address - Fax:407-352-2547
Practice Address - Street 1:5728 MAJOR BLVD
Practice Address - Street 2:SUITE #528
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7945
Practice Address - Country:US
Practice Address - Phone:407-352-2542
Practice Address - Fax:407-352-2547
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME125445207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine