Provider Demographics
NPI:1215978317
Name:SEIFER, ALAN S (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:S
Last Name:SEIFER
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 1:8353 SW 124 ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156
Mailing Address - Country:US
Mailing Address - Phone:305-238-9898
Mailing Address - Fax:305-238-9721
Practice Address - Street 1:8353 SW 124 ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156
Practice Address - Country:US
Practice Address - Phone:305-238-9898
Practice Address - Fax:305-238-9721
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0025888207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL058819900Medicaid
FL058819900Medicaid
D60191Medicare UPIN