Provider Demographics
NPI:1194069377
Name:SELZER, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SELZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N CLEMATIS ST STE 110
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5553
Mailing Address - Country:US
Mailing Address - Phone:561-365-3000
Mailing Address - Fax:561-365-3019
Practice Address - Street 1:101 N CLEMATIS ST STE 110
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5553
Practice Address - Country:US
Practice Address - Phone:561-365-3000
Practice Address - Fax:561-365-3019
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME131312207R00000X
FL131312207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty