Organization Active NPI

Michele L Selsor Inc

  • Podiatrist
  • Pinellas Park, FL
National Provider Identifier
1962685743
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2916 Issued in FL
Legal business name
MICHELE L SELSOR INC
Practice address
7744 66TH St N
Pinellas Park, FL 33781-3100
Phone
(727) 321-9488
Fax
(727) 321-2033
NPI assigned
Dec 14, 2007
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Michele L Selsor, DPMNPI 1407854839
Title
President
Phone
(727) 321-9488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2916 FL Primary

Addresses

Primary practice location

7744 66TH St N
Pinellas Park, FL 33781-3100

Mailing address

5851 93Rd Ave N
Pinellas Park, FL 33782-4905
Phone (727) 321-9488

Other identifiers 1

IdentifierTypeStateIssuer
340214200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100317000382 FL Part B Supplier - Clinic/Group Practice 8022143999 Receives reassigned benefits from 1 practitioner
Practice locations: Pinellas Park, FL
O20100930029990 FL DME Supplier - Physician - Podiatry 8022143999 Practice locations: Pinellas Park, FL

National Provider Directory

National Provider Directory

Locations

7744 66th St N
Pinellas Park, FL 33781
Phone (727) 321-9488

4104 5th Ave N
St Petersburg, FL 33713
Phone (727) 321-9488

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1962685743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 93RD AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824905",
            "telephone_number": "727-321-9488",
            "fax_number": "727-321-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7744 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813100",
            "telephone_number": "727-321-9488",
            "fax_number": "727-321-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE L SELSOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "SELSOR",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-321-9488",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340214200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.