Organization
MD HEALTHCARE BOCA RATON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATO SEGURA M.D. (MEDICAL DIRECTOR/PRESIDENT)
(786) 301-4164
Entity
Organization
Contact information
Practice address
7050 W. PALMETTO PARK ROAD, SUITE 30, BOCA RATON, FL 33433
(954) 425-9154
(866) 981-1882
Mailing address
304 INDIAN TRACE, SUITE 636, WESTON, FL 33326
(786) 553-9745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024422400
—
FL
Enumeration date
03/21/2022
Last updated
12/06/2022
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