Segura, Juan Luis

Segura, Juan Luis is an sole proprietor health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Segura, Juan Luis can be contacted via phone (954) 987-2000.

Contact Information

Primary practice address
3501 Johnson St Hollywood FL 33021-5421
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 9292534 Florida

Profile Details

NPI number 1801109335
LBN Legal business name Segura, Juan Luis
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2010
Last updated Jul 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801109335 NPPES
Florida MEDICAID 1801109335

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