Organization Active NPI

Carlos Spera MD PA

  • Ambulatory Surgical Clinic/Center
  • Davie, FL
National Provider Identifier
1164612289
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1196 Issued in FL
Legal business name
CARLOS SPERA MD PA
Practice address
12575 Orange Dr
Suite 303
Davie, FL 33330-4302
Phone
(954) 577-8585
Fax
(954) 577-8556
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Dr. Carlos E Spera, M.D.NPI 1033270251
Title
President/Owner
Phone
(954) 577-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1196 FL Primary

Addresses

Primary practice location

12575 Orange Dr
Suite 303
Davie, FL 33330-4302

Mailing address

12575 Orange Dr
Suite 303
Davie, FL 33330-4302
Phone (954) 577-8585

National Provider Directory

National Provider Directory

Locations

12575 Orange Dr
Ste 303
Davie, FL 33330
Phone (954) 577-8585

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1164612289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12575 ORANGE DR",
            "address_2": "SUITE 303",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304302",
            "telephone_number": "954-577-8585",
            "fax_number": "954-577-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12575 ORANGE DR",
            "address_2": "SUITE 303",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304302",
            "telephone_number": "954-577-8585",
            "fax_number": "954-577-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS SPERA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "SPERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-577-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.