Individual
DR. SEIFU M DEMISSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 N HABANA AVE, SUITE 200, TAMPA, FL 33614-7160
(407) 898-2767
(407) 898-9443
Mailing address
2660 W FAIRBANKS AVE, WINTER PARK, FL 32789-3385
(407) 898-2767
(407) 898-9443
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
ME109533
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003276000
—
FL
Enumeration date
05/28/2008
Last updated
09/11/2016
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