Provider Demographics
NPI:1982565099
Name:SEALS NURSE PRACTITIONER SERVICES LLC
Entity type:Organization
Organization Name:SEALS NURSE PRACTITIONER SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEALS
Authorized Official - Suffix:II
Authorized Official - Credentials:APRN
Authorized Official - Phone:850-240-2840
Mailing Address - Street 1:2423 S ORANGE AVE STE 194
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-4543
Mailing Address - Country:US
Mailing Address - Phone:407-934-0394
Mailing Address - Fax:407-550-3788
Practice Address - Street 1:227 E CRYSTAL LAKE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-4543
Practice Address - Country:US
Practice Address - Phone:407-934-0394
Practice Address - Fax:407-550-3788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty