Provider Demographics
NPI:1942281142
Name:SEINFELD, AMY L (DO)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:SEINFELD
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:4801 S UNIVERSITY DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3839
Mailing Address - Country:US
Mailing Address - Phone:954-434-1705
Mailing Address - Fax:954-434-1882
Practice Address - Street 1:350 NW 84TH AVE
Practice Address - Street 2:SUITE 200A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1817
Practice Address - Country:US
Practice Address - Phone:954-434-1705
Practice Address - Fax:954-434-1882
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2015-01-15
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Provider Licenses
StateLicense IDTaxonomies
FLOS 8323207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01587OtherBC/BS PROVIDER #
FL269198100Medicaid
FL269198100Medicaid
FLE7020Medicare ID - Type Unspecified