Provider Demographics
NPI:1407258908
Name:BRIGITTE A. SEMEXANT D.O. P.A.
Entity Type:Organization
Organization Name:BRIGITTE A. SEMEXANT D.O. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIGITTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEMEXANT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-965-1119
Mailing Address - Street 1:2301 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3617
Mailing Address - Country:US
Mailing Address - Phone:954-965-1119
Mailing Address - Fax:
Practice Address - Street 1:2301 N UNIVERSITY DR
Practice Address - Street 2:SUITE 207
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3617
Practice Address - Country:US
Practice Address - Phone:954-965-1119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4895OtherMEDICARE PROVIDER NUMBER