Provider Demographics
NPI:1336455021
Name:KANACHERIL, SEECHEL MURPHY (OD)
Entity Type:Individual
Prefix:DR
First Name:SEECHEL
Middle Name:MURPHY
Last Name:KANACHERIL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 NE 24TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33305-2712
Mailing Address - Country:US
Mailing Address - Phone:954-873-5523
Mailing Address - Fax:
Practice Address - Street 1:258 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4557
Practice Address - Country:US
Practice Address - Phone:954-973-2150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4165152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist