Active NPI
Alex Sandor Szabo
- Assisted Living Facility
- Port St Lucie, FL
National Provider Identifier
1376928655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 12687
- Practice address
- 372 SW Todd Ave
Port St Lucie, FL 34983-3061 - Phone
- (772) 201-1789
- Fax
- (772) 353-5703
- NPI assigned
- Jul 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 12687 | FL | Primary |
Addresses
Primary practice location
372 SW Todd Ave
Port St Lucie, FL 34983-3061
Mailing address
372 SW Todd Ave
Port St Lucie, FL 34983-3061
Phone (772) 201-1789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12687 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1376928655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 SW TODD AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349833061",
"telephone_number": "772-201-1789",
"fax_number": "772-353-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 SW TODD AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349833061",
"telephone_number": "772-201-1789",
"fax_number": "772-353-5703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZABO",
"first_name": "ALEX",
"middle_name": "SANDOR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "12687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.