Healthcare Provider Details

I. General information

NPI: 1033108535
Provider Name (Legal Business Name): ARTHUR SEGALL JR. DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 NW 82ND AVE STE 102
PLANTATION FL
33324-1853
US

IV. Provider business mailing address

201 NW 82ND AVE STE 102
PLANTATION FL
33324-1853
US

V. Phone/Fax

Practice location:
  • Phone: 954-384-2555
  • Fax: 954-900-5646
Mailing address:
  • Phone: 954-384-2555
  • Fax: 564-654-9900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO2286
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: