Active NPI
Senior Medical Associates LLC
- Family Medicine Physician
- Sunrise, FL
National Provider Identifier
1164186565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SENIOR MEDICAL ASSOCIATES LLC
- Practice address
- 7800 W Oakland Park Blvd
Sunrise, FL 33351-6741 - Phone
- (954) 990-8382
- NPI assigned
- Oct 22, 2021
- Last updated
- Aug 19, 2024
- Organization subpart
- Yes
- Parent organization
- SENIOR MEDICAL ASSOCIATES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos De Solo
- Title
- Chief Executive Officer
- Phone
- (305) 649-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
7800 W Oakland Park Blvd
Sunrise, FL 33351-6741
Mailing address
1000 NW 57TH CT Ste 400
Miami, FL 33126-3292
Phone (305) 649-8100
National Provider Directory
National Provider Directory- Part of
- Senior Medical Associates LLC
Locations
15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1164186565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NW 57TH CT STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263292",
"telephone_number": "305-649-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 W OAKLAND PARK BLVD",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516741",
"telephone_number": "954-990-8382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR MEDICAL ASSOCIATES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SENIOR MEDICAL ASSOCIATES LLC",
"enumeration_date": "2021-10-22",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "DE SOLO",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "305-649-8100"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.