Organization
UNITED SPECIALTY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER L SEIFERT M.D. (OWNER)
(321) 280-3949
Entity
Organization
Contact information
Practice address
393 CENTERPOINTE CIR, SUITE 1481, ALTAMONTE SPRINGS, FL 32701-3453
(321) 280-3949
(321) 280-3950
Mailing address
393 CENTERPOINTE CIR, SUITE 1481, ALTAMONTE SPRINGS, FL 32701-3453
(321) 280-3949
(321) 280-3950
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
ME10299
FL
261QE0002X
Emergency Care Clinic/Center
ME108299
FL
261QP2300X
Primary Care Clinic/Center
Primary
ME108299
FL
305S00000X
Point of Service
ME108299
FL
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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