Organization
EMERGENCE, M.A.T. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLAN SELDES M.D. (MEDICAL DOCTOR)
(813) 244-7457
Entity
Organization
Contact information
Practice address
13139 W. LINEBAUGH AVE. UNIT 1, TAMPA, FL 33626
(813) 328-4120
(813) 328-4003
Mailing address
13139 W. LINEBAUGH AVE. UNIT 1, TAMPA, FL 33626
(813) 328-4120
(813) 328-4003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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