Provider Demographics
NPI:1679556328
Name:SEMEXANT, BRIGITTE A (DO)
Entity Type:Individual
Prefix:DR
First Name:BRIGITTE
Middle Name:A
Last Name:SEMEXANT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10041 PINES BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6170
Mailing Address - Country:US
Mailing Address - Phone:954-391-8597
Mailing Address - Fax:954-281-5944
Practice Address - Street 1:10041 PINES BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6170
Practice Address - Country:US
Practice Address - Phone:954-391-8597
Practice Address - Fax:954-281-5944
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8548207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266295700Medicaid
FLE8273YMedicare ID - Type Unspecified
FLH71873Medicare UPIN