Provider Demographics
NPI:1720298698
Name:SEYMOUR, AMIR ROMAR (MD)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:ROMAR
Last Name:SEYMOUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 267515
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33351-5813
Mailing Address - Country:US
Mailing Address - Phone:954-746-1338
Mailing Address - Fax:954-746-1331
Practice Address - Street 1:4399 NOB HILL ROAD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-5813
Practice Address - Country:US
Practice Address - Phone:954-746-1338
Practice Address - Fax:954-746-1331
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97010208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
25BBFZNMedicare ID - Type Unspecified
I46283Medicare UPIN