Provider Demographics
NPI:1588806038
Name:SELDIN, MARJORIE FINK (OTR)
Entity Type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:FINK
Last Name:SELDIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3707 TOLEDO ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6455
Mailing Address - Country:US
Mailing Address - Phone:786-200-3556
Mailing Address - Fax:305-960-7459
Practice Address - Street 1:1800 SW 1ST ST STE 102
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1957
Practice Address - Country:US
Practice Address - Phone:305-646-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT547174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist