Individual
MRS. MILAGROS M SEGUERRA-DOCTORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 SHAMROCK BLVD, VENICE, FL 34293
(941) 493-3282
(941) 493-1672
Mailing address
700 8TH AVE W STE 101, PALMETTO, FL 34221-4737
(941) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME32680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038690100
—
FL
01
—
214206
AMERIGROUP
FL
01
—
28840
WELLCARE
FL
01
—
464714
AETNA
FL
01
—
58312
BCBS
FL
Enumeration date
08/05/2006
Last updated
02/21/2020
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