South Florida Breast Specialists PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME97068 Issued in FL

Legal business name

SOUTH FLORIDA BREAST SPECIALISTS PLLC

Doing business as

Denise Sanderson MD PLLC

Practice address

2220 SE Ocean Blvd Ste 203
Stuart, FL 34996-3301

Phone

(772) 872-6913

Fax

(772) 872-6924

NPI assigned

Dec 13, 2011

Last updated

Apr 12, 2022By 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

Dr. Denise Marie Ortega Sanderson, M.D.NPI 1689768491

Title

Owner

Phone

(631) 848-7426

Specialties & licenses 1

Addresses

Other names 1

• Denise Sanderson MD PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Denise Sanderson, MD

  • Surgery Physician
  • Stuart, FL
  • NPI 1689768491
  Medicare reassignment NPD Authorized official
• Karissa Leigh Richards, ARNP

  • Women's Health Nurse Practitioner
  • Stuart, FL
  • NPI 1144410713
  Medicare reassignment NPD
• Ricardo Antonio Romagosa, M.D.

  • Dermatology Physician
  • Stuart, FL
  • NPI 1720075401

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1073881462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SE OSCEOLA ST",
            "address_2": "SUITE 200A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 SE OCEAN BLVD STE 203",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963301",
            "telephone_number": "772-872-6913",
            "fax_number": "772-872-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA BREAST SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE ORTEGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-848-7426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME97068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denise Sanderson MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roberto Victor Sotullo II
• Leslie Soulek, MSW
• Sandra June Sousa, RBT
• South Beach Medical Associates, LLC
• South Beach Orthotics & Prosthetics, Inc
• South Florida Orthopaedics & Sports Medicine
• South Florida Orthopaedics & Sports Medicine, PA
• South Florida Orthopaedics & Sports Medicine, PA
• South Florida Orthopaedics & Sports Medicine,PA
• South Florida Surgical Specialists, LLC

• Surgery Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.