Provider Demographics
NPI:1497942049
Name:SEGAL, ZOE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ZOE
Middle Name:
Last Name:SEGAL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10922 SW 3RD ST APT B1
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1236
Mailing Address - Country:US
Mailing Address - Phone:786-219-8758
Mailing Address - Fax:
Practice Address - Street 1:10922 SW 3RD ST APT B1
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1236
Practice Address - Country:US
Practice Address - Phone:786-219-8758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11004647363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner