Southeastern Medical Group, INC
NPI #1083074314 in Wilton Manors, Florida
Provider Information
- NPI Number
- 1083074314
- Entity Type
- Organization
- Organization Name
- Southeastern Medical Group, INC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Feb 29, 2016
- Last Updated
- Feb 29, 2016
Practice Location
- Address
- 1881 NE 26TH ST
- Address 2
- SUITE 224
- City
- Wilton Manors
- State
- Florida
- ZIP Code
- 33305-1416
- Phone
- (954) 398-1947
Authorized Official
- Name
- MRS. SANDRA MILENA ZERVOUDAKIS, LMHC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (954) 398-1947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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