Provider Demographics
NPI:1760659023
Name:SEYKORA, PATRICIA (AP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:SEYKORA
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 MAITLAND AVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4914
Mailing Address - Country:US
Mailing Address - Phone:407-834-4422
Mailing Address - Fax:407-834-3366
Practice Address - Street 1:251 MAITLAND AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4914
Practice Address - Country:US
Practice Address - Phone:407-834-4422
Practice Address - Fax:407-834-3366
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP722171100000X
FLMA12153174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174400000XOther Service ProvidersSpecialist