Individual
MICHAEL D. SEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 CELEBRATION PL STE 305, CELEBRATION, FL 34747-5436
(407) 303-4120
(407) 303-4124
Mailing address
410 CELEBRATION PL STE 305, CELEBRATION, FL 34747-5436
(407) 303-4120
(407) 303-4124
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
407013
MI
207YX0901X
Otology & Neurotology Physician
ME126537
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME126537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284774310
—
MI
01
—
700H262260
BLUE CROSS-BLUE CROSS
—
01
—
MS407013
CHAMPUS-CHAMPUS
—
Enumeration date
11/28/2006
Last updated
07/09/2020
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