Southeastern Medical Group, Inc
NPI 1083074314 · Psychiatric/Mental Health Nurse Practitioner · Wilton Manors, FL
Southeastern Medical Group, Inc is a Psychiatric/Mental Health Nurse Practitioner organization in Wilton Manors, FL (NPI 1083074314).
Provider details
- NPI number
- 1083074314
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Sandra Zervoudakis, Executive Director(954) 398-1947
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-02-29
- Last updated
- 2016-02-29
Frequently asked questions
- What is Southeastern Medical Group, Inc's NPI number?
- Southeastern Medical Group, Inc's National Provider Identifier (NPI) is 1083074314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Medical Group, Inc?
- Southeastern Medical Group, Inc is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southeastern Medical Group, Inc located?
- Southeastern Medical Group, Inc's practice location on file with NPPES is 1881 Ne 26th St, Wilton Manors, FL 33305-1416.
- What is Southeastern Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Medical Group, Inc is (954) 398-1947.
- Who is the authorized official for Southeastern Medical Group, Inc?
- The authorized official listed on Southeastern Medical Group, Inc's NPPES record is Sandra Zervoudakis, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Medical Group, Inc's NPI active?
- Yes — Southeastern Medical Group, Inc's NPI (1083074314) is active in the NPPES registry as of the last update on 2016-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.