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General NPI Number Information
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NPI Number | 1265722847
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Entity Type | Organization
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Legal Business Name | DR ZOE SEGREE DC PA
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 661 US HIGHWAY 98
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City | EASTPOINT
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State | FL
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Zip | 32328-3572
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Country | US
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Telephone | 850-670-5494
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Fax | 850-670-1424
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Provider Business Mailing Address
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Address Line | 661 US HIGHWAY 98
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City | EASTPOINT
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State | FL
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Zip | 32328-3572
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Country | US
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Telephone | 850-670-5494
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Fax | 850-670-1424
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. ZOE SEGREE
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Credential | D.C.
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Telephone | 850-670-5494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH6321
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License Number State | FL
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