Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Medical Group, Inc

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1083074314

Southeastern Medical Group, Inc is a Psychiatric/Mental Health Nurse Practitioner in Wilton Manors, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1881 NE 26th St Ste 224
Wilton Manors, FL 33305-1416
Phone: (954) 398-1947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1083074314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Zervoudakis — Executive Director · (954) 398-1947
NPI enumeratedFebruary 29, 2016
Last updated in NPPESFebruary 29, 2016
Mailing address1881 Ne 26th St, Suite 224, Wilton Manors, FL 33305-1416

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