Active NPI
Reflections OBGYN LLC
- Clinic/Center
- Viera, FL
National Provider Identifier
1356583165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- REFLECTIONS OBGYN LLC
- Practice address
- 1705 Berglund LN
Suite 102
Viera, FL 32940-6231 - Phone
- (321) 610-8955
- Fax
- (321) 610-8954
- NPI assigned
- Mar 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Sargent, M.D.
- Title
- Physician
- Phone
- (321) 610-8955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1705 Berglund LN
Suite 102
Viera, FL 32940-6231
Mailing address
1705 Berglund LN
Suite 102
Viera, FL 32940-6231
Phone (321) 610-8955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269307100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1705 Berglund Ln
Ste 102
Viera, FL 32940
Phone (321) 294-5800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345075200000",
"number": "1356583165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 BERGLUND LN",
"address_2": "SUITE 102",
"city": "VIERA",
"state": "FL",
"postal_code": "329406231",
"telephone_number": "321-610-8955",
"fax_number": "321-610-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 BERGLUND LN",
"address_2": "SUITE 102",
"city": "VIERA",
"state": "FL",
"postal_code": "329406231",
"telephone_number": "321-610-8955",
"fax_number": "321-610-8954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFLECTIONS OBGYN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-26",
"last_updated": "2012-08-16",
"status": "A",
"authorized_official_last_name": "SARGENT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "321-610-8955",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269307100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.