DR. RENATO SEGURA


Address: 3990 Sheridan St, Suite 101, Hollywood, FL 33021-3661
Phone: 9549874455

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE PTAN FS584A 01

Provider Secondary Practice Location

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

Office Location

Street Address 3990 SHERIDAN ST
SUITE 101
City HOLLYWOOD
State FL
Zip Code 33021-3661

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City HOLLYWOOD
Zip Code 33021

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Dataset Information

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.

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