SOUTHEASTERN MEDICAL GROUP, INC – Psychiatric/Mental Health Nurse Practitioner, NPI 1083074314

SOUTHEASTERN MEDICAL GROUP, INC is a healthcare provider. based in Wilton manors, Florida. specializing in Psychiatric/Mental Health Nurse Practitioner. The NPI Number for SOUTHEASTERN MEDICAL GROUP, INC is 1083074314

Main info

Organization
Name
SOUTHEASTERN MEDICAL GROUP, INC
NPI
1083074314
Phone
Not provided
Address
1881 NE 26TH ST
Authorized Official
MRS. SANDRA MILENA ZERVOUDAKIS EXECUTIVE DIRECTOR LMHC
Enumeration Date
29 February 2016
Last Update Date
29 February 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

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Provider Addresses for SOUTHEASTERN MEDICAL GROUP, INC

  • 1881, Northeast 26th Street, Coral Estates, Wilton Manors, Broward County, Florida, 33305, United States

    SUITE 224

    WILTON MANORS, FL 333051416

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33305)

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Frequently asked questions

What is the 10-digit NPI for SOUTHEASTERN MEDICAL GROUP, INC?
SOUTHEASTERN MEDICAL GROUP, INC — NPI 1083074314 — is the standard way to identify this listing.
Does the file indicate SOUTHEASTERN MEDICAL GROUP, INC is practicing under active NPI?
Directory data currently reports SOUTHEASTERN MEDICAL GROUP, INC as active.
What is SOUTHEASTERN MEDICAL GROUP, INC's specialty?
The listing groups SOUTHEASTERN MEDICAL GROUP, INC with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SOUTHEASTERN MEDICAL GROUP, INC based?
SOUTHEASTERN MEDICAL GROUP, INC is tied to Wilton Manors, Florida in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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