Individual
HANSCY SEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2321
(386) 258-8722
(386) 258-8659
Mailing address
695 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114
(386) 258-8722
(386) 258-8659
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME0077584
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME0077584
FL
207RI0011X
Interventional Cardiology Physician
ME77584
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269538300
—
FL
01
—
78790
BCBS
FL
Enumeration date
03/28/2006
Last updated
12/05/2017
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