Provider Demographics
NPI:1174494165
Name:SOUTH BEACH FOOT AND ANKLE ASSOCIATES, LLC
Entity type:Organization
Organization Name:SOUTH BEACH FOOT AND ANKLE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SEDA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-538-2226
Mailing Address - Street 1:1345 ALTON RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3811
Mailing Address - Country:US
Mailing Address - Phone:305-538-2226
Mailing Address - Fax:305-538-2194
Practice Address - Street 1:1345 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-3811
Practice Address - Country:US
Practice Address - Phone:305-538-2226
Practice Address - Fax:305-538-2194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty