Provider Demographics
NPI:1497066450
Name:SELLING-SCHEUR, JILL (DPM)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:
Last Name:SELLING-SCHEUR
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 S MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-3009
Mailing Address - Country:US
Mailing Address - Phone:866-366-8723
Mailing Address - Fax:866-327-7237
Practice Address - Street 1:466 S MILITARY TRL
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-3009
Practice Address - Country:US
Practice Address - Phone:866-366-8723
Practice Address - Fax:866-327-7237
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 2728213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist