Provider Demographics
NPI:1801064530
Name:SETH W. RATNER DPM PA
Entity type:Organization
Organization Name:SETH W. RATNER DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:W
Authorized Official - Last Name:RATNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:727-785-8338
Mailing Address - Street 1:34921 US HIGHWAY 19 N
Mailing Address - Street 2:#400
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1970
Mailing Address - Country:US
Mailing Address - Phone:727-785-8338
Mailing Address - Fax:
Practice Address - Street 1:34921 US HIGHWAY 19 N
Practice Address - Street 2:#400
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1970
Practice Address - Country:US
Practice Address - Phone:727-785-8338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1891332B00000X, 261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL480006718OtherRAILROAD MEDICARE
FL480006718OtherRAILROAD MEDICARE
FL0625520001Medicare NSC
FLT15442Medicare UPIN