Provider Demographics
NPI:1942281142
Name:SEINFELD, AMY L (DO)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:SEINFELD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 S STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-6718
Mailing Address - Country:US
Mailing Address - Phone:954-743-5522
Mailing Address - Fax:954-743-5632
Practice Address - Street 1:390 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-6718
Practice Address - Country:US
Practice Address - Phone:954-743-5522
Practice Address - Fax:954-743-5632
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 8323207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01587OtherBC/BS PROVIDER #
FL269198100Medicaid
FL269198100Medicaid
FLE7020Medicare ID - Type Unspecified