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SOUTHEASTERN MEDICAL GROUP, INC
NPI 1083074314
Nurse Practitioner - Psychiatric/Mental Health in Wilton Manors, FL

Active since February 29, 2016
1881 NE 26TH ST, SUITE 224, WILTON MANORS, FL 33305(954) 398-1947 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeastern Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN MEDICAL GROUP, INC (NPI 1083074314) is a healthcare organization registered as a psychiatric/mental health in Wilton Manors, Florida and active in the NPI registry since February 2016. The organization lists Sandra Milena Zervoudakis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083074314
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTHEASTERN MEDICAL GROUP, INC
Location Address1881 NE 26TH ST, SUITE 224Wilton Manors, FL 33305-1416
Mailing Address1881 Ne 26th St, Suite 224Wilton Manors, FL 33305-1416
Phone(954) 398-1947
Organization SubpartNo
Authorized OfficialSandra Milena ZervoudakisExecutive Director · (954) 398-1947
Enumeration DateFebruary 29, 2016
✔ NPI 1083074314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1881 NE 26TH ST, Wilton Manors, FL 33305
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GHEZZI PSYCHOTHERAPY SERVICES
Counselor (Mental Health)
1881 NE 26TH ST, 70
WILTON MANORS, FL 33305
Broward County (954) 317-3978
MARY JEAN GARCIA LCSW
Social Worker (Clinical)
1881 NE 26TH ST, SUITE 70
WILTON MANORS, FL 33305
Broward County (954) 270-6319
DR. DOMINIC R RIGANOTTI D.O.
Specialist
1881 NE 26TH ST, SUITE 60
WILTON MANORS, FL 33305
Broward County (754) 206-2031
GET IT STRAIT CHIRO INC
Chiropractor
1881 NE 26TH ST, SUITE 238
WILTON MANORS, FL 33305
Broward County (954) 203-8533
JAMES FOSTER ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1881 NE 26TH ST, SUITE 102
WILTON MANORS, FL 33305
Broward County (954) 495-8490
MR. JOHN WILLIAM DORAN LCSW
Social Worker (Clinical)
1881 NE 26TH ST, SUITE #229
WILTON MANORS, FL 33305
Broward County (954) 253-4060
JOHN W. DORAN, LCSW PA
Counselor (Professional)
1881 NE 26TH ST, SUITE 212-G
WILTON MANORS, FL 33305
Broward County (954) 253-4060
BILL BRACKER, PSYD, LLC
Psychologist (Clinical)
1881 NE 26TH ST
WILTON MANORS, FL 33305
Broward County (954) 895-1022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Medical Group, Inc's NPI number?

The NPI number for Southeastern Medical Group, Inc is 1083074314. It was assigned to this organization in the NPPES registry on February 29, 2016.

Where is Southeastern Medical Group, Inc located?

Southeastern Medical Group, Inc is located at 1881 NE 26th St Suite 224, Wilton Manors, FL 33305. The listed phone number is (954) 398-1947.

What is Southeastern Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Southeastern Medical Group, Inc was last updated on February 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.