Sawgrass Primary Care Partners LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAWGRASS PRIMARY CARE PARTNERS LLC

Practice address

12651 W Sunrise Blvd Ste 101
Sunrise, FL 33323-0906

Phone

(954) 703-5225

Fax

(954) 703-5115

NPI assigned

May 18, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Elio Delvalle, PA-C

Title

MNGR

Phone

(305) 519-2546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1174901524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD STE 101",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906",
            "telephone_number": "954-703-5225",
            "fax_number": "954-703-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD STE 101",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906",
            "telephone_number": "954-703-5225",
            "fax_number": "954-703-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWGRASS PRIMARY CARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "DELVALLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ELIO",
        "authorized_official_title_or_position": "MNGR",
        "authorized_official_telephone_number": "305-519-2546",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Monica Sattley
• Nancy J Saucier, CRNA
• Edward Vito Sauris, MD
• Sawgrass Gentle Dentistry
• Sawgrass Mills Mall Dental, PA
• Sawgrass Urgent Care & Occupational Medicine LLC
• Janeth Paola Sawh, PA-C
• Monina Romero Sayon
• Angela Scaglione, CRNA
• Anthony Scaramellino

• Family Medicine Physician in Sunrise, FL
• Providers in Sunrise, 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 May 18, 2015; 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.