MR. MARK T SELLECK (NPI# 1871519363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871519363 |
| Entity Type | Individual |
| Full Name | MR. MARK T SELLECK |
| Credential | LPO,CPO |
| Practice Address |
3350 Nw 2nd Avenue Boca Raton FL 33431 |
| Mailing Address |
Po Box 1416 Boca Raton FL 33429-1416 |
| Practice Telephone | 5613944200 |
| Practice Fax Number | 5613944422 |
| Mailing Telephone | 5613944200 |
| Mailing Fax Number | 5613944422 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2016-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | POR175 | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033489794 | Mark Anthony Selleck | Pediatrics | 4650 W Sunset Blvd, #68, Los Angeles, CA 90027-6062 | 2012-01-11 |
| Street Address |
3350 NW 2ND AVENUE |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1285258756 | Gagan Neupane | Student in an Organized Health Care Education/Training Program | Florida Atlantic University At Boca Raton, 670 Glades Road, Suite 400, Boca Raton, FL 33431 | 2020-06-01 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
| 1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| Find all providers in zip 33431 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508359191 | Mako Medical Equipment Inc | Prosthetic/Orthotic Supplier | 2200 N Federal Hwy Ste 208, Boca Raton, FL 33431-7741 | 2018-06-08 |
| 1154864957 | Tiger Blossom LLC | Prosthetic/Orthotic Supplier | 2851 S Ocean Blvd, #6u, Boca Raton, FL 33432-8388 | 2016-11-28 |
| 1114479706 | Prosthetic Technology Center | Prosthetic/Orthotic Supplier | 1700 N Dixie Hwy Ste 107, Boca Raton, FL 33432-1807 | 2016-10-28 |
| 1316069172 | The Shoe Doctor, Inc. | Prosthetic/Orthotic Supplier | 164 Nw 51st St, Boca Raton, FL 33431-4226 | 2007-04-04 |
| 1457377871 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 5820 Glades Rd, Boca Raton, FL 33431-7220 | 2006-07-15 |
| 1528523784 | Headstart Clinics LLC | Prosthetic/Orthotic Supplier | 900 Nw 13th St, Boca Raton, FL 33486-2335 | 2019-02-01 |
| 1184126864 | Linda Alfieri Inc | Prosthetic/Orthotic Supplier | 127 E Palmetto Park Rd, Boca Raton, FL 33432-4818 | 2018-03-08 |
| 1033611710 | Linda Alfieri Inc. | Prosthetic/Orthotic Supplier | 127 E Palmetto Park Rd, Boca Raton, FL 33432-4818 | 2018-03-08 |
| 1982081717 | South Beach Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 3350 Nw 2nd Ave, Suite B18, Boca Raton, FL 33431-6675 | 2015-04-30 |
| 1891172631 | South Beach Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 3350 Nw 2nd Ave, Suite B18, Boca Raton, FL 33431-6675 | 2015-04-30 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33431 |
Please comment or provide details below to improve the information on MR. MARK T SELLECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.