# MD HEALTHCARE BOCA RATON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144979949
- **Authorized official:** DR. RENATO SEGURA M.D. (MEDICAL DIRECTOR/PRESIDENT)
- **Authorized official phone:** (786) 301-4164

## Contact information

- **Practice address:** 7050 W. PALMETTO PARK ROAD, SUITE 30, BOCA RATON, FL 33433
- **Practice address phone:** (954) 425-9154
- **Practice address fax:** (866) 981-1882
- **Mailing address:** 304 INDIAN TRACE, SUITE 636, WESTON, FL 33326
- **Mailing address phone:** (786) 553-9745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2022
- **Last updated:** 12/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 024422400 | — | FL |