Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO2286 | FL |
NPI | 1033108535 |
---|---|
Provider Name | Arthur Segall JR. |
First Address | Plantation, FL 33324-1853 |
Second Address | Plantation, FL 33324-1853 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 13/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
390064900 | (05) | FL |
U40556 | (02) | FL |