Thaller, Seth R.

Thaller, Seth R. is an individual health care provider with primary practice located at 1611 Nw 12Th Ave Box 016960 M851, Miami FL 33136-1005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Thaller, Seth R. can be contacted via phone (305) 585-1288.

Contact Information

Primary practice address
1611 Nw 12Th Ave Box 016960 M851 Miami FL 33136-1005
Phone: (305) 585-1288
Fax: (305) 243-8470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME71049 Florida

Profile Details

NPI number 1750347571
LBN Legal business name Thaller, Seth R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Feb 15th, 2013 - about 11 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 1750347571 NPPES
Florida MEDICAID 3774775-00

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