Provider Demographics
NPI:1770266157
Name:SEEGOTT HEALTH LLC
Entity type:Organization
Organization Name:SEEGOTT HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SEEGOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:772-559-9347
Mailing Address - Street 1:1165 SW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-2907
Mailing Address - Country:US
Mailing Address - Phone:772-255-6565
Mailing Address - Fax:772-273-2096
Practice Address - Street 1:1165 SW 27TH ST
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-2907
Practice Address - Country:US
Practice Address - Phone:772-255-6565
Practice Address - Fax:772-273-2096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-10
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty