Marisa Amanda Seegobin, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

ME173758 Issued in FL

Practice address

1411 N Flagler Dr Ste 5000
West Palm Beach, FL 33401-3410

Phone

(561) 549-9090

Fax

(561) 549-9091

NPI assigned

Apr 25, 2020

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marisa Amanda Seegobin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: mdeliso122606@epicdirect.rwjbh.org

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1710507199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N NOB HILL RD STE 311",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241708",
            "telephone_number": "561-549-9090",
            "fax_number": "561-549-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 5000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013410",
            "telephone_number": "561-549-9090",
            "fax_number": "561-549-9091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9325 Glades Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334343988",
            "country_code": "US",
            "telephone_number": "561-549-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 SW Natura Ave",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334413026",
            "country_code": "US",
            "telephone_number": "561-549-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333173767",
            "country_code": "US",
            "telephone_number": "561-549-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEEGOBIN",
        "first_name": "MARISA",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-25",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME173758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "SEEGOBIN",
            "middle_name": "AMANDA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Sports Medicine (Orthopaedic Surgery) Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.