Provider Demographics
NPI:1538347075
Name:SEYMOUR M BIGAYER DPM PA
Entity type:Organization
Organization Name:SEYMOUR M BIGAYER DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEYMOUR
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIGAYER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-734-0690
Mailing Address - Street 1:9770 S MILITARY TRL
Mailing Address - Street 2:SUITE B-12
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-3207
Mailing Address - Country:US
Mailing Address - Phone:561-734-0690
Mailing Address - Fax:561-734-7117
Practice Address - Street 1:9770 S MILITARY TRL
Practice Address - Street 2:SUITE B-12
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-3207
Practice Address - Country:US
Practice Address - Phone:561-734-0690
Practice Address - Fax:561-734-7117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1417335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6159540001Medicare NSC