Organization
MILA SEGUERRA-DOCTURA MD PA
Active
Other names
Milagros M. Seguerra -Doctora MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILA SEGUERRA-DOCTORA MD PA MD (PHYSICIAN/OWNER)
(941) 493-3282
Entity
Organization
Contact information
Practice address
119 SHAMROCK BLVD, VENICE, FL 34293-1630
(941) 493-3282
(941) 493-1672
Mailing address
119 SHAMROCK BLVD, VENICE, FL 34293-1630
(941) 493-3282
(941) 493-1672
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0032680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0386901-00
—
FL
01
—
214206
AMERIGROUP
FL
01
—
28840
WELLCARE
FL
01
—
464714
AETNA
FL
01
—
58312
BXBS
FL
Enumeration date
09/17/2009
Last updated
09/17/2009
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