MEDICARE: DR. MAIKEL SEGUI DDS

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DN16491	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023219771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAIKEL SEGUI DDS

Provider Business Mailing Address
First Line	:	6165 NW 99TH WAY
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33076-2573
Country	:	US
Telephone Number	:	305-519-6037
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6134
Country	:	US
Telephone Number	:	954-752-9065
Fax Number	:

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

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	11/02/2011

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