Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN16491 | FL |
NPI | 1023219771 |
---|---|
Provider Name | Dr. Maikel Segui |
First Address | Parkland, FL 33076-2573 |
Second Address | Coral Springs, FL 33071-6134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 02/11/2011 |