Individual
MYRON F. SEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME91450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009977125
—
AL
05
—
131122
—
AL
05
—
271355100
—
FL
01
—
50269
BLUECROSS & BLUESHIELD
FL
01
—
59175151
BLUECROSS & BLUESHIELD
AL
01
—
592-15393
BLUE CROSS BLUE SHIELD
AL
01
—
C933
HEALTH FIRST NETWORK
FL
01
—
P0027472
MEDICARE RAILROAD
—
Enumeration date
08/10/2005
Last updated
11/17/2011
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