Individual
JUAN LUIS SEGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
Mailing address
11501 N MILITARY TRL, PALM BEACH GARDENS, FL 33410-6507
(954) 249-7581
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9292534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801109335
—
FL
Enumeration date
07/26/2010
Last updated
07/15/2020
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