SRSS Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SRSS MEDICAL GROUP LLC

Practice address

1588 Citrus Medical CT
Ocoee, FL 34761-4547

Phone

(786) 699-1781

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Sarah Fatima Siddiqui, D.O.NPI 1225379407

Title

Owner/Partner

Phone

(321) 438-1300

Specialties & licenses 1

Addresses

Other names 1

• PRO MED PHYSICIANS 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.

• Sarah Fatima Siddiqui, D.O.

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1225379407
  Medicare reassignment NPD Authorized official
• Salma Rawof, MD

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1467791798
  Medicare reassignment NPD
• Muqeet Siddiqui

  • Family Medicine Physician
  • Ocoee, FL
  • NPI 1538187117
  Medicare reassignment NPD

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1124886098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 BOVET AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 CITRUS MEDICAL CT",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614547",
            "telephone_number": "786-699-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRSS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "321-438-1300",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO MED PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kallie Jade Spooner
• Heidi Yolanda Sposato, M.A., LMFT
• Sra Ventures Inc
• Sra Ventures Inc
• Sra Ventures, Inc.
• St Anthony'S Family Medical Practice MD PA
• Kedna St Cyr, DPT
• Angela Stallard, D.M.D.
• Chevon Stallworth
• Kathy Steege

• Family Medicine Physician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.