Provider Demographics
NPI:1891088977
Name:SELEME INTERNAL MEDICINE LLLP
Entity Type:Organization
Organization Name:SELEME INTERNAL MEDICINE LLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SELEME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-295-2840
Mailing Address - Street 1:1200 KENNEDY DR
Mailing Address - Street 2:SUITE 1028
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4023
Mailing Address - Country:US
Mailing Address - Phone:305-295-2840
Mailing Address - Fax:305-295-2845
Practice Address - Street 1:1200 KENNEDY DR
Practice Address - Street 2:SUITE 1028
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4023
Practice Address - Country:US
Practice Address - Phone:305-295-2840
Practice Address - Fax:305-295-2845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty