Provider Demographics
NPI:1992096770
Name:RONI SEHAYIK, M.D., P.A.
Entity type:Organization
Organization Name:RONI SEHAYIK, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONI
Authorized Official - Middle Name:
Authorized Official - Last Name:SEHAYIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-627-3327
Mailing Address - Street 1:1983 P G A BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3001
Mailing Address - Country:US
Mailing Address - Phone:561-627-3327
Mailing Address - Fax:561-627-3388
Practice Address - Street 1:1983 P G A BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3001
Practice Address - Country:US
Practice Address - Phone:561-627-3327
Practice Address - Fax:561-627-3388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0039093207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA38382Medicare UPIN