DR. RENATO SEGURA (NPI# 1356663306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356663306 |
Entity Type | Individual |
Full Name | DR. RENATO SEGURA |
Credential | MD, LAC. |
Practice Address |
3990 Sheridan St Suite 101 Hollywood FL 33021-3661 |
Practice Telephone | 9549874455 |
Practice Fax Number | 9549647342 |
Mailing Telephone | 9549874455 |
Mailing Fax Number | 9549647342 |
Enumeration Date | 2010-02-18 |
Last Update Date | 2020-01-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 171100000X | Acupuncturist | AP2554 | FL | Other Service Providers |
Y | 208D00000X | General Practice | ME135224 | FL | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 018321 | PR | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 12848-I | PR | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICARE PTAN | FS584A | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
14055 West Dixie Hwy, North Miami, FL 33161 | 7864520195 | 3054560195 |
4269 Nw 88th Ave, Sunrise, FL 333516044 | 9545780200 | 9545780050 |
7031 Sw 62nd Ave, South Miami, FL 331434701 | 3052847600 |
Street Address |
3990 SHERIDAN ST SUITE 101 |
City | HOLLYWOOD |
State | FL |
Zip Code | 33021-3661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740283472 | Nigel Alexander Spier | Obstetrics & Gynecology | 3990 Sheridan St, Ste 207, Hollywood, FL 33021-3656 | 2005-05-27 |
1962860197 | Orthopedic Specialty Instiute, Pllc | Orthopaedic Surgery | 3990 Sheridan St, Suite 106-107, Hollywood, FL 33021-3661 | 2016-02-02 |
1447616180 | Doctors Now LLC | Clinic/Center | 3990 Sheridan St, Suite 212, Hollywood, FL 33021-3661 | 2016-01-11 |
1447493770 | Imprimis Health Group | Point of Service | 3990 Sheridan St, Suite 214, Hollywood, FL 33021-3661 | 2009-04-16 |
1083859375 | Diplomat Orthopaedic Group Pa | Orthopaedic Surgery | 3990 Sheridan St, Suite 214, Hollywood, FL 33021-3661 | 2008-12-16 |
1588812960 | Gordon and Ramirez Dentistry Partnership | Dentist | 3990 Sheridan St, #216, Hollywood, FL 33021-3661 | 2008-08-28 |
1891951323 | Shrusan Gray | Specialist | 3990 Sheridan St, Suite 201, Hollywood, FL 33021-3661 | 2008-08-04 |
1578727053 | Romeo K. Fernandez, M.d., P.a. | Psychiatry & Neurology | 3990 Sheridan St, Ste. #203, Hollywood, FL 33021-3661 | 2008-07-15 |
1770741225 | Leavitt Medical Associates of Florida Inc | Dermatology | 3990 Sheridan St, Suite 101, Hollywood, FL 33021-3661 | 2008-05-30 |
1366620866 | Nigel A. Spier Md LLC | Clinic/Center | 3990 Sheridan St, Suite 207, Hollywood, FL 33021 | 2008-02-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
Find all providers in zip 33021 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184232522 | Buen Pastor Medical Center, Inc. | General Practice | 4400 Sheridan St Ste C, Hollywood, FL 33021-3514 | 2020-07-22 |
1639734148 | Management Care LLC | General Practice | 7900 Nw 33rd St Ste 103, Hollywood, FL 33024-2209 | 2019-05-09 |
1730671504 | Rafael Torres | General Practice | 1915 Monroe St Apt 15, Hollywood, FL 33020-7700 | 2018-06-06 |
1003311051 | David Lee Arnold | General Practice | 1701 Fletcher St, Hollywood, FL 33020-6538 | 2018-03-29 |
1528468956 | Centro Medico Familiar Buen Pastor Pharmacy | General Practice | 4440 Sheridan St Ste C, Hollywood, FL 33021-3535 | 2014-09-04 |
1255741088 | Bonne Medical Center, Inc. | General Practice | 5928 Sheridan St Ste A, Hollywood, FL 33021 | 2014-05-01 |
1518388503 | Marc Joseph | General Practice | 2629 Funston St, Hollywood, FL 33020-5727 | 2013-12-18 |
1972871937 | Carevantage Medical Centers of Broward At Sterling Road,llc | General Practice | 2536 N State Road 7, Hollywood, FL 33021-3205 | 2011-12-06 |
1639379761 | Gabriel Gregorio Florez | General Practice | 4440 Sheridan St, Suite C, Hollywood, FL 33021 | 2007-07-18 |
1174697288 | William H Hayling | General Practice | 3301 Barham Blvd Ste 400, Hollywood, CA 90068-1477 | 2006-11-20 |
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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.