MEDICARE: DR. EFRAIN SEGURA M.D.

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	207Q00000X	Family Medicine Physician	ME114358	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	:	1619289931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EFRAIN SEGURA M.D.

Provider Business Mailing Address
First Line	:	1000 E IRLO BRONSON MEMORIAL HWY
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-4745
Country	:	US
Telephone Number	:	407-564-3699
Fax Number	:	407-593-9413

Provider Business Practice Location Address
First Line	:	8200 WORLD CENTER DRIVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32821-5412
Country	:	US
Telephone Number	:	407-465-1110
Fax Number	:	407-465-1222

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

Provider Enumeration Date	:	07/02/2010
Last Update Date	:	07/24/2024

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