# EMERGENCE, M.A.T. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275290413
- **Authorized official:** DR. MARK ALLAN SELDES M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (813) 244-7457

## Contact information

- **Practice address:** 13139 W. LINEBAUGH AVE. UNIT 1, TAMPA, FL 33626
- **Practice address phone:** (813) 328-4120
- **Practice address fax:** (813) 328-4003
- **Mailing address:** 13139 W. LINEBAUGH AVE. UNIT 1, TAMPA, FL 33626
- **Mailing address phone:** (813) 328-4120
- **Mailing address fax:** (813) 328-4003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2021
- **Last updated:** 11/23/2021