Insulinic of Pembroke LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INSULINIC OF PEMBROKE LLC

Practice address

3700 Washington St Ste 304
Hollywood, FL 33021-8258

Phone

(647) 273-6484

NPI assigned

Sep 13, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Athanasio Saridis

Title

Ceo

Phone

(647) 273-6484

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1043932528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 304",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218258",
            "telephone_number": "647-273-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 304",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218258",
            "telephone_number": "647-273-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSULINIC OF PEMBROKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "SARIDIS",
        "authorized_official_first_name": "ATHANASIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "647-273-6484"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.