Provider Demographics
NPI:1285614719
Name:SETO, MICHAEL M (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:M
Last Name:SETO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1155 N KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4740
Mailing Address - Country:US
Mailing Address - Phone:407-408-9193
Mailing Address - Fax:407-612-2187
Practice Address - Street 1:1155 N KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4740
Practice Address - Country:US
Practice Address - Phone:602-214-7574
Practice Address - Fax:727-846-0561
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS89762086S0122X
AZ3978208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ7855567OtherAETNA
AZ1285614719OtherBLUE CROSS BLUE SHIELD
AZ4Z9693OtherHEALTH NET
AZ1285614719OtherTRICARE
AZ2382532OtherUNITED HEALTHCARE
AZ1285614719OtherBLUE CROSS BLUE SHIELD
AZH99602Medicare UPIN