Organization Active NPI

Seaside Pediatrics of Key West

  • Pediatrics Physician
  • Key West, FL
National Provider Identifier
1396249637
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME125918 Issued in FL
Legal business name
SEASIDE PEDIATRICS OF KEY WEST
Practice address
1201 White St Ste 103
Key West, FL 33040-3328
Phone
(305) 295-7337
Fax
(305) 295-0597
NPI assigned
Mar 21, 2018
Last updated
Mar 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. Jose Texidor, MD
Title
Physician
Phone
(305) 295-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME125918 FL Primary

Addresses

Primary practice location

1201 White St Ste 103
Key West, FL 33040-3328

Mailing address

1201 White St Ste 103
Key West, FL 33040-3328
Phone (305) 295-7337

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1396249637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WHITE ST STE 103",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403328",
            "telephone_number": "305-295-7337",
            "fax_number": "305-295-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WHITE ST STE 103",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403328",
            "telephone_number": "305-295-7337",
            "fax_number": "305-295-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PEDIATRICS OF KEY WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "TEXIDOR",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-295-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME125918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.