Demissie, Seifu M

Demissie, Seifu M is an individual health care provider with primary practice located at 4700 N Habana Ave Suite 200, Tampa FL 33614-7160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Demissie, Seifu M can be contacted via phone (407) 898-2767.

Contact Information

Primary practice address
4700 N Habana Ave Suite 200 Tampa FL 33614-7160
Fax: (407) 898-9443
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X ME109533 Florida

Profile Details

NPI number 1821256629
LBN Legal business name Demissie, Seifu M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated Sep 11th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821256629 NPPES
Florida MEDICAID 003276000

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