Senior Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME47178 Issued in FL

Legal business name

SENIOR MEDICAL ASSOCIATES LLC

Practice address

1855 N Corporate Lakes Blvd Ste 1
Weston, FL 33326-3274

Phone

(954) 659-9690

Fax

(954) 659-9694

NPI assigned

Nov 30, 2012

Organization subpart

Yes

Parent organization

SENIOR MEDICAL ASSOCIATES LLCAs reported in NPPES

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

Addresses

Other names 1

• LLC Other name

Part of

Senior Medical Associates LLC

Locations

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1336484484",
    "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",
            "fax_number": "954-580-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 N CORPORATE LAKES BLVD STE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263274",
            "telephone_number": "954-659-9690",
            "fax_number": "954-659-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR MEDICAL ASSOCIATES LLC",
        "enumeration_date": "2012-11-30",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME47178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Debra Seliger-Goboff
• Christopher Neil Selleck, M.D.
• Alexandra Sellers
• Minna Ruth Selub, M.D.
• Steven E Selub, MD
• Septem Therapeutic Services LLC
• Ariel Sepulveda, CRNA
• Sheyla Serrano, RBT
• Mark Sesto, M.D.
• Neil Seth

• Family Medicine Physician in Weston, FL
• Providers in Weston, 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 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.

Verify at the official NPI Registry.