Provider Demographics
NPI:1699766352
Name:SEERAM, ROBIN (CSA/CST)
Entity type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:
Last Name:SEERAM
Suffix:
Gender:M
Credentials:CSA/CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32968-2034
Mailing Address - Country:US
Mailing Address - Phone:772-569-1470
Mailing Address - Fax:
Practice Address - Street 1:465 28TH AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32968-2034
Practice Address - Country:US
Practice Address - Phone:772-569-1470
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00051246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist