Provider Demographics
NPI:1780664227
Name:GULEC, SEZA (MD)
Entity Type:Individual
Prefix:
First Name:SEZA
Middle Name:
Last Name:GULEC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21110 BISCAYNE BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1252
Mailing Address - Country:US
Mailing Address - Phone:305-918-7050
Mailing Address - Fax:305-918-7051
Practice Address - Street 1:21110 BISCAYNE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1252
Practice Address - Country:US
Practice Address - Phone:305-918-7050
Practice Address - Fax:305-918-7051
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01059389174400000X
FLME101827207U00000X, 208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No174400000XOther Service ProvidersSpecialist
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200498340Medicaid
FL001-534-700Medicaid
FLBX745ZMedicare PIN
FL001-534-700Medicaid
IN188940HMedicare ID - Type Unspecified