Seth B Forman MD PL

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME96509 Issued in FL

Legal business name

SETH B FORMAN MD PL

Practice address

3622 Madaca LN
Tampa, FL 33618-2057

Phone

(813) 960-2400

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Seth B Forman, MD

Title

Owner

Phone

(813) 960-2400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1578696159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182057",
            "telephone_number": "813-960-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182057",
            "telephone_number": "813-960-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH B FORMAN MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-960-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME96509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Servello
• Jennifer Serviss
• Linda Lorrayne Sessions, LCSW
• Theresa D Sesti, AAC
• Set Solution LLC
• Seth Medical Clinic LLC
• Rishi Seth, M.D.
• Jaskaran Singh Sethi, MBBS, MS
• Kalene Camille Setrin, AUD
• Settles It All Care LLC

• Dermatology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.