Organization
MITCHELL S SEAVEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL S SEAVEY MD (PRESIDENT)
(954) 771-7760
Entity
Organization
Contact information
Practice address
5700 N FEDERAL HWY, SUITE 2, FORT LAUDERDALE, FL 33308-2600
(954) 771-7760
Mailing address
5700 N FEDERAL HWY, SUITE 2, FORT LAUDERDALE, FL 33308-2600
(954) 771-7760
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0049150
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME0049150
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME0049150
FL
207XX0801X
Orthopaedic Trauma Physician
ME0049150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02412
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/15/2006
Last updated
09/11/2007
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