Provider Demographics
NPI:1760776819
Name:JOSEPH F SEBER, MD, PA
Entity Type:Organization
Organization Name:JOSEPH F SEBER, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:SEBER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:305-947-1466
Mailing Address - Street 1:16870 NE 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3108
Mailing Address - Country:US
Mailing Address - Phone:305-947-1466
Mailing Address - Fax:305-944-0692
Practice Address - Street 1:16870 NE 19TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3108
Practice Address - Country:US
Practice Address - Phone:305-947-1466
Practice Address - Fax:305-944-0692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA01797Medicare UPIN