Provider Demographics
NPI:1598847345
Name:DAVID SEIDNER PT DC PA
Entity Type:Organization
Organization Name:DAVID SEIDNER PT DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:SEIDNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-755-1911
Mailing Address - Street 1:934 N. UNIVERSITY DR.
Mailing Address - Street 2:#204
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071
Mailing Address - Country:US
Mailing Address - Phone:954-755-1911
Mailing Address - Fax:954-345-6903
Practice Address - Street 1:7447 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2970
Practice Address - Country:US
Practice Address - Phone:954-755-1911
Practice Address - Fax:954-345-6903
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVID M SEIDNER PT, D.C., P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-20
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLT85310111N00000X
FLCH5693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00189999OtherRAIL ROAD MEDICARE
FLT85310Medicare UPIN
FLP00189999OtherRAIL ROAD MEDICARE