Individual provider Active NPI

Zsuzsanna Verebelyi Seybold, M.D.

  • General Practice Physician
  • Fort Lauderdale, FL
National Provider Identifier
1457555856
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME90616 Issued in FL
Practice address
500 SE 17TH St Ste 325
Fort Lauderdale, FL 33316-2547
Phone
(954) 415-3161
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X ME90616 FL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME90616 FL Primary

Addresses

Primary practice location

500 SE 17TH St Ste 325
Fort Lauderdale, FL 33316-2547

Mailing address

500 SE 17TH St Ste 325
Fort Lauderdale, FL 33316-2547
Phone (954) 415-3161

Other practice location 1

7200 NW 7th St
Suite 206
Miami, FL 33126-2948
Phone (954) 415-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000103 FL Practitioner - Preventive Medicine 5991765190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Express Docs, LLC Multi-Specialty CurrentSince Sep 1, 2018 Accepting new patients
Express Docs, LLC CurrentSince Sep 1, 2018 Accepting new patients
Physicians Associates, LLC. Multi-Specialty Past Accepting new patients
Zsuzsanna Seybold Mdpa Preventive Medicine/Occupational Environmental Medicine Past Accepting new patients
Expressdocs2Llc PastSince Feb 11, 2024 Accepting new patients

Locations

14530 S Military Trl
Delray Beach, FL 33484
Phone (561) 381-0260

14530 S Military Trl
Ste A1
Delray Beach, FL 33484
Phone (561) 381-0260

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1457555856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SE 17TH ST STE 325",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162547",
            "telephone_number": "954-415-3161",
            "fax_number": "954-636-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE 17TH ST STE 325",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162547",
            "telephone_number": "954-415-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 NW 7th St",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331262948",
            "country_code": "US",
            "telephone_number": "954-415-3161",
            "fax_number": "954-473-8788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYBOLD",
        "first_name": "ZSUZSANNA",
        "middle_name": "VEREBELYI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "ME90616",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.