Organization Active NPI

Laura Sudarsky MD LLC

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1285057844
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME95533 Issued in FL
Legal business name
LAURA SUDARSKY MD LLC
Practice address
6333 N Federal Hwy
Ft Lauderdale, FL 33308-1907
Phone
(954) 861-0760
Fax
(954) 337-3309
NPI assigned
Jan 31, 2014
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Laura Sudarsky, MDNPI 1538208418
Title
Owner
Phone
(954) 861-0760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME95533 FL Primary

Addresses

Primary practice location

6333 N Federal Hwy
Ft Lauderdale, FL 33308-1907

Mailing address

6333 N Federal Hwy
Ft Lauderdale, FL 33308-1907
Phone (954) 861-0760

Other identifiers 1

IdentifierTypeStateIssuer
ME95533OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

Locations

6333 N Federal Hwy
Ste 404
Ft Lauderdale, FL 33308
Phone (954) 533-1671

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1285057844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081907",
            "telephone_number": "954-861-0760",
            "fax_number": "954-337-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081907",
            "telephone_number": "954-861-0760",
            "fax_number": "954-337-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA SUDARSKY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "SUDARSKY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-861-0760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME95533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "ME95533",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.