DESIRAE A. SEGURA


Address: 8218 Marauder Dr, Tampa, FL 33621-1426
Phone: 7602708137

DESIRAE A. SEGURA (NPI# 1477153278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477153278
Entity Type Individual
Full Name DESIRAE A. SEGURA
Credential ARNP
Practice Address 8218 Marauder Dr
Tampa
FL 33621-1426
Practice Telephone 7602708137
Mailing Telephone 7602708137
Enumeration Date 2020-10-29
Last Update Date 2020-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN11009689 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8218 MARAUDER DR
City TAMPA
State FL
Zip Code 33621-1426

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1760478044 Michael Glenn Hodges Family Medicine 3250 Zerkle Avenue, Macdill Afb, FL 33621 2005-09-22
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1861486789 Daniel N. Park Physician Assistant Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 2005-09-07
1811374002 Sara Bender Social Worker 3250 Zemke Ave, Tampa, FL 33621 2015-04-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City TAMPA
Zip Code 33621

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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