Provider Demographics
NPI:1780020248
Name:SEDAT T EKICI, PA
Entity Type:Organization
Organization Name:SEDAT T EKICI, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SEDAT
Authorized Official - Middle Name:T
Authorized Official - Last Name:EKICI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-471-1305
Mailing Address - Street 1:2950 ALT US HWY 27 S
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-4973
Mailing Address - Country:US
Mailing Address - Phone:863-471-1305
Mailing Address - Fax:863-471-1315
Practice Address - Street 1:2950 ALT US HWY 27 S
Practice Address - Street 2:SUITE A
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-4973
Practice Address - Country:US
Practice Address - Phone:863-471-1305
Practice Address - Fax:863-471-1315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty