Sebring Psych Med Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

643642 Issued in FL

Legal business name

SEBRING PSYCH MED INC

Practice address

1753 US 27 N
Avon Park, FL 33825-9504

Phone

(863) 452-1325

Fax

(863) 452-1385

NPI assigned

Sep 23, 2008

Last updated

Jun 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerardo F Olivera, MDNPI 1245250505

Title

Owner

Phone

(863) 452-1325

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerardo Francisco Olivera, M.D.

  • Psychiatry Physician
  • Stuart, FL
  • NPI 1245250505
  NPD Authorized official

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1073763470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 US 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259504",
            "telephone_number": "863-452-1325",
            "fax_number": "863-452-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 US 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259504",
            "telephone_number": "863-452-1325",
            "fax_number": "863-452-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBRING PSYCH MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "OLIVERA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-452-1325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "643642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Avon Park, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.