Organization
SEGALL FOOT & ANKLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGIDA FENELON CPC (OFFICE MANAGER)
(954) 771-8177
Entity
Organization
Contact information
Practice address
4800 NE 20TH TER STE 303, FORT LAUDERDALE, FL 33308-4510
(954) 771-8177
(954) 771-3629
Mailing address
201 NW 82ND AVE STE 102, PLANTATION, FL 33324-1853
(954) 384-2555
(954) 900-5646
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65268
BCBS FL
FL
Enumeration date
03/13/2019
Last updated
03/13/2019
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