Provider Demographics
NPI:1386824472
Name:ARMANDO SEGUI MD PA
Entity Type:Organization
Organization Name:ARMANDO SEGUI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-776-4283
Mailing Address - Street 1:4811 NW 79TH AVE
Mailing Address - Street 2:STE 2
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5438
Mailing Address - Country:US
Mailing Address - Phone:305-776-4283
Mailing Address - Fax:305-468-0375
Practice Address - Street 1:4811 NW 79TH AVE
Practice Address - Street 2:STE 2
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-5438
Practice Address - Country:US
Practice Address - Phone:305-776-4283
Practice Address - Fax:305-468-0375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82265261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE5683Medicare PIN