Provider Demographics
NPI:1306274998
Name:ACCREDITED MEDICAL PROVIDERS LLC
Entity type:Organization
Organization Name:ACCREDITED MEDICAL PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:SEEGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-349-7449
Mailing Address - Street 1:451 SW BETHANY DR STE 201
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-1964
Mailing Address - Country:US
Mailing Address - Phone:772-335-3056
Mailing Address - Fax:772-212-0398
Practice Address - Street 1:451 SW BETHANY DR STE 201
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-1964
Practice Address - Country:US
Practice Address - Phone:772-335-3056
Practice Address - Fax:772-212-0398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME53261208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty