Provider Demographics
NPI:1306971593
Name:SELIGMAN, RANDI SUE (DPM)
Entity type:Individual
Prefix:DR
First Name:RANDI
Middle Name:SUE
Last Name:SELIGMAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6238 W ATLANTIC AVE
Mailing Address - Street 2:STE. 4
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-3501
Mailing Address - Country:US
Mailing Address - Phone:561-499-4900
Mailing Address - Fax:
Practice Address - Street 1:6238 W ATLANTIC AVE
Practice Address - Street 2:STE.4
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-3501
Practice Address - Country:US
Practice Address - Phone:561-499-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP00001626213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL87877Medicare PIN
FLT55582Medicare UPIN