Active NPI
Sophrosyne Florida
- Family Medicine Physician
- Santa Rosa Beach, FL
National Provider Identifier
1104585710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOPHROSYNE FLORIDA
- Practice address
- 1307 East County Hwy 30a
Ste 6a
Santa Rosa Beach, FL 32459 - Phone
- (985) 733-4867
- NPI assigned
- Dec 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devan G Szczepanski, MD
- Title
- Owner
- Phone
- (985) 733-4867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1307 East County Hwy 30a
Ste 6a
Santa Rosa Beach, FL 32459
Mailing address
1307 East County Hwy 30a
Ste 6a
Santa Rosa Beach, FL 32459
Phone (985) 733-4867
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639094400000",
"number": "1104585710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 EAST COUNTY HWY 30A",
"address_2": "STE 6A",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "32459",
"telephone_number": "985-733-4867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 EAST COUNTY HWY 30A",
"address_2": "STE 6A",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "32459",
"telephone_number": "985-733-4867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOPHROSYNE FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-10",
"last_updated": "2021-12-10",
"certification_date": "2021-12-07",
"status": "A",
"authorized_official_last_name": "SZCZEPANSKI",
"authorized_official_first_name": "DEVAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-733-4867",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.