Provider Demographics
NPI:1710905575
Name:FLOYD E SESKIN MD PA
Entity Type:Organization
Organization Name:FLOYD E SESKIN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:E
Authorized Official - Last Name:SESKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-792-6905
Mailing Address - Street 1:1921 NE 188TH ST
Mailing Address - Street 2:
Mailing Address - City:N MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4350
Mailing Address - Country:US
Mailing Address - Phone:305-792-6905
Mailing Address - Fax:305-792-6908
Practice Address - Street 1:21097 NE 27TH CT
Practice Address - Street 2:SUITE 101
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1204
Practice Address - Country:US
Practice Address - Phone:305-792-6905
Practice Address - Fax:305-792-6908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60152208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2282067OtherAETNA PROVIDER NUMBER
FL059603500Medicaid
FL12286OtherFL BC/BS
FL627342OtherANTHEM
FL721210004OtherCIGNA PROVIDER NUMBER
FL001631OtherNHP PROVIDER NUMBER
NY6002111OtherGHI PROVIDER NUMBER
FL12286Medicare PIN