Provider Demographics
NPI:1457148306
Name:SEYLER, STEPHANIE (ARDMS)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SEYLER
Suffix:
Gender:
Credentials:ARDMS
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:SEYLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1935 CONWAY RD APT C8
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-8602
Mailing Address - Country:US
Mailing Address - Phone:630-854-4736
Mailing Address - Fax:
Practice Address - Street 1:1935 CONWAY RD APT C8
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-8602
Practice Address - Country:US
Practice Address - Phone:630-854-4736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1602102085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound