Sepa Doral, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SEPA DORAL, LLC

Practice address

8000 NW 21St St Ste 221
Doral, FL 33122-1620

Phone

(305) 596-4288

NPI assigned

Jun 20, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Geral M Cohen, ESQ.

Title

Executive Vice President

Phone

(305) 596-4288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396265583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 NW 21ST ST STE 221",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221620",
            "telephone_number": "305-596-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 NW 21ST ST STE 221",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221620",
            "telephone_number": "305-596-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPA DORAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "GERAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "305-596-4288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.