Selsor, Michele L

Selsor, Michele L is an sole proprietor health care provider with primary practice located at 4104 5Th Ave N , St Petersburg FL 33713-6304. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Selsor, Michele L can be contacted via phone (727) 321-9488.

Contact Information

Primary practice address
4104 5Th Ave N St Petersburg FL 33713-6304
Phone: (727) 321-9488
Fax: (727) 321-2033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2916 Florida

Profile Details

NPI number 1407854839
LBN Legal business name Selsor, Michele L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2005
Last updated Feb 1st, 2010 - about 14 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 1407854839 NPPES
Florida MEDICAID 340214201
Florida Other 480034898
Florida MEDICAID 340214200
Florida Other 4687950002

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