Provider Demographics
NPI:1912962317
Name:SEIFERMANN, RYAN MARTIN (RN)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:MARTIN
Last Name:SEIFERMANN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34404 COUNTRYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33543-5228
Mailing Address - Country:US
Mailing Address - Phone:813-715-0999
Mailing Address - Fax:813-978-5933
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD
Practice Address - Street 2:CARDIOLOGY 111-A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4745
Practice Address - Country:US
Practice Address - Phone:813-972-7669
Practice Address - Fax:813-978-5933
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9212853163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse