Provider Demographics
NPI:1720601768
Name:KED MEDICAL, P.A.
Entity Type:Organization
Organization Name:KED MEDICAL, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SETO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:407-813-3881
Mailing Address - Street 1:3001 N ROCKY POINT DR E STE 100
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5860
Mailing Address - Country:US
Mailing Address - Phone:407-813-3881
Mailing Address - Fax:813-282-0190
Practice Address - Street 1:3001 N ROCKY POINT DR E STE 100
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5860
Practice Address - Country:US
Practice Address - Phone:407-813-3881
Practice Address - Fax:813-282-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty