Organization
SESHADRI & SESHADRI MDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JOY LUNDGREN (OFFICE MANAGER)
(941) 629-4949
Entity
Organization
Contact information
Practice address
2841 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-5172
(941) 629-4949
(941) 629-2036
Mailing address
2841 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-5172
(941) 629-4949
(941) 629-2036
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
FL
207RR0500X
Rheumatology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AM212
PROVIDER TRANSACTION ACCESS NUMBER
FL
Enumeration date
03/22/2007
Last updated
09/17/2008
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