Provider Demographics
NPI:1841742178
Name:SEALEY, OSWALD JR
Entity Type:Individual
Prefix:
First Name:OSWALD
Middle Name:
Last Name:SEALEY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 DARLIN CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-2706
Mailing Address - Country:US
Mailing Address - Phone:321-388-3873
Mailing Address - Fax:
Practice Address - Street 1:2212 DARLIN CIRCLE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32820-2706
Practice Address - Country:US
Practice Address - Phone:321-388-3873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health