Provider Demographics
NPI:1295764025
Name:EKICI, SEDAT T (MD)
Entity type:Individual
Prefix:
First Name:SEDAT
Middle Name:T
Last Name:EKICI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
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
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
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2013-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME95067207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL53075OtherBCBS
FL276161100Medicaid
FLAD258ZMedicare PIN