Segura, Renato
Segura, Renato is an individual health care provider with primary practice located at 3990 Sheridan St Suite 101, Hollywood FL 33021-3661. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Segura, Renato can be contacted via phone (954) 987-4455.Contact Information
Primary practice address
3990 Sheridan St Suite 101
Hollywood FL 33021-3661
Phone: (954) 987-4455
Fax: (954) 964-7342
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Acupuncturist | 171100000X | AP2554 | Florida |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 018321 | Puerto Rico |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 12848-I | Puerto Rico |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME135224 | Florida |
Profile Details
NPI number | 1356663306 |
---|---|
LBN Legal business name | Segura, Renato |
Credentials | MD, LAC. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 18th, 2010 |
Last updated | Apr 6th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356663306 | NPPES |
Other | FS584A | MEDICARE PTAN |
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