Emergence, M.a.T. LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EMERGENCE, M.A.T. LLC

Practice address

13139 W. Linebaugh Ave. Unit 1
Tampa, FL 33626

Phone

(813) 328-4120

Fax

(813) 328-4003

NPI assigned

Nov 23, 2021

Last updated

Nov 23, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Allan Seldes, M.D.NPI 1851382113

Title

Medical Doctor

Phone

(813) 244-7457

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark A Seldes, M.D.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1851382113
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1275290413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13139 W. LINEBAUGH AVE. UNIT 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33626",
            "telephone_number": "813-328-4120",
            "fax_number": "813-328-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13139 W. LINEBAUGH AVE. UNIT 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33626",
            "telephone_number": "813-328-4120",
            "fax_number": "813-328-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCE, M.A.T. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "SELDES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "813-244-7457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Emden, RN, BSN
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• Emergency Medicine Group PL
• Emergency Medicine of Florida, Inc. (COMBI (Comprehensive Occupational Medicine for Business & Industry))
• Emergency Medicine Services of FL, LLC

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.