Provider Demographics
NPI:1740432848
Name:SEJAS, JUAN O (ARNP)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:O
Last Name:SEJAS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 NE MIAMI GARDENS DR APT 301
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4730
Mailing Address - Country:US
Mailing Address - Phone:305-915-0659
Mailing Address - Fax:
Practice Address - Street 1:1300 NE MIAMI GARDENS DR APT 301
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-4730
Practice Address - Country:US
Practice Address - Phone:305-915-0659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHSE9513246ZS0410X
FL9300064363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist