Sebring Vascular Surgery PL

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME85381 Issued in FL

Legal business name

SEBRING VASCULAR SURGERY PL

Practice address

3323 Medical Hill Rd
Sebring, FL 33870-5531

Phone

(863) 382-2361

Fax

(863) 382-4327

NPI assigned

Sep 6, 2007

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricio Rosa, MD

Title

Preisdent

Phone

(863) 382-2361

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1417142035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 MEDICAL HILL RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705531",
            "telephone_number": "863-382-2361",
            "fax_number": "863-382-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 MEDICAL HILL RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705531",
            "telephone_number": "863-382-2361",
            "fax_number": "863-382-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBRING VASCULAR SURGERY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "PATRICIO",
        "authorized_official_title_or_position": "PREISDENT",
        "authorized_official_telephone_number": "863-382-2361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME85381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebring Senior Care, LLC (Palms of Sebring)
• Sebring Senior Living, Inc. (The Palms of Sebring)
• Sebring Senior Living, Inc. (The Palms of Sebring (ALF))
• Sebring Square Medical Group, LLC. (Revello Medical)
• Sebring Urology Center
• Sedat T Ekici, PA
• Select Rehab.
• Mark T Selleck, LPO,CPO
• Jeremy Kent Selley, DO
• Victoria Hutto Selley, DO

• Vascular Surgery Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.