MEDICARE: DR. MIKAYLA GRACE SEGURA DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	15666	FL

General Provider Information

NPI Number	:	1558235150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIKAYLA GRACE SEGURA DC

Provider Business Mailing Address
First Line	:	3902 NW CINNAMON TREE CIR
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-3641
Country	:	US
Telephone Number	:	407-687-7081
Fax Number	:

Provider Business Practice Location Address
First Line	:	632 SE MONTEREY RD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-4410
Country	:	US
Telephone Number	:	772-219-3313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	01/21/2026

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