Organization
THORACIC SURGERY OF INDIAN RIVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A SEIRAFI M.D. (MANAGING MEMBER)
(772) 589-2009
Entity
Organization
Contact information
Practice address
14430 US HIGHWAY 1, SUITE 102, SEBASTIAN, FL 32958-3289
(772) 589-2009
(772) 589-2299
Mailing address
14430 US HIGHWAY 1, SUITE 102, SEBASTIAN, FL 32958-3289
(772) 589-2009
(772) 589-2299
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME80733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162138
WELLCARE
FL
01
—
1865828
AETNA FL
FL
01
—
2610659
CIGNA
FL
01
—
35676
BCBS FLORIDA
FL
01
—
613325100
FEDERAL BLACK LUNG
—
01
—
7435144
AETNA
FL
01
—
DN6310
MEDICARE RAILROAD
FL
01
—
PRO6612
QUALITY HEALTH PLAN
FL
Enumeration date
05/02/2008
Last updated
05/21/2009
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