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

Last updated

Aug 23, 2007By 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

Seth B Forman, MDNPI 1346304540

Title

Owner

Phone

(813) 960-2400

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.

• Seth B Forman, MD

  • Dermatology Physician
  • Tampa, FL
  • NPI 1346304540
  Authorized official Same address or phone

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 (RadiaCure)
• 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.