Adrea R. Samoleski, MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME95765 Issued in FL

Legal business name

ADREA R. SAMOLESKI, MD PA

Practice address

7100 W Camino Real
Suite 121
Boca Raton, FL 33433-5510

Phone

(561) 850-9124

Fax

(404) 666-5100

NPI assigned

Jun 22, 2016

Organization subpart

No

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

Authorized official

Name

Adrea Rose Samoleski, MD

Title

President

Phone

(561) 850-9124

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Boca Family Medicine Doing business as

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1417307331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9563 LAKE SERENA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334966516",
            "telephone_number": "561-850-9124",
            "fax_number": "404-666-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "SUITE 121",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-850-9124",
            "fax_number": "404-666-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADREA R. SAMOLESKI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "SAMOLESKI",
        "authorized_official_first_name": "ADREA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-850-9124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME95765",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Boca Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Boca Raton, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.