Senior Care Medical Ctr

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME94817 Issued in FL

Legal business name

SENIOR CARE MEDICAL CTR

Doing business as

Coral Gate Medical Group

Practice address

9750 NW 33Rd Street
Suite # 212
Coral Springs, FL 33065-4042

Phone

(954) 755-5504

Fax

(954) 755-3414

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Robert Gordon

Title

Coo

Phone

(954) 656-8855

Specialties & licenses 1

Addresses

Other names 1

• CORAL GATE MEDICAL GROUP Doing business as

Locations

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1205157187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N UNIVERSITY DR",
            "address_2": "SUITE # 110",
            "city": "CORAL SPINGS",
            "state": "FL",
            "postal_code": "330655081",
            "telephone_number": "954-656-8855",
            "fax_number": "954-656-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD STREET",
            "address_2": "SUITE # 212",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654042",
            "telephone_number": "954-755-5504",
            "fax_number": "954-755-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE MEDICAL CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-656-8855"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME94817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORAL GATE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Seligsohn, MD
• Jaclyn Selwyn
• Arlene Semeco, M.S, R.D., LD/N
• Maria A Semprun, DMD
• Marie Lourdes Senatus, DMD
• Senior Medical Associates LLC
• Senior One Solutions, LLC
• Seniors and Veterans Caregivers Services, LLC
• Seniors and Veterans Caregivers Services, LLC (SVCS)
• Seniors Passionate Care Services

• Internal Medicine Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.