Provider Demographics
NPI:1033108535
Name:SEGALL, ARTHUR JR (DPM)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:SEGALL
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 NW 82ND AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1853
Mailing Address - Country:US
Mailing Address - Phone:954-384-2555
Mailing Address - Fax:564-654-9900
Practice Address - Street 1:201 NW 82ND AVE STE 102
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1853
Practice Address - Country:US
Practice Address - Phone:954-384-2555
Practice Address - Fax:954-900-5646
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2286213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390064900Medicaid
FLU40556Medicare UPIN
FL65268AMedicare PIN