Active NPI
Sean Francis Del Grego, PA-C
- Physician Assistant
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9106628
- Practice address
- 4780 SW 64TH Ave Ste 101
Davie, FL 33314-4400 - Phone
- (954) 434-1705
- NPI assigned
- Feb 10, 2006
- Last updated
- Aug 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9106628 | FL | Primary |
| Medical Physician Assistant | 363AM0700X | 003178 | GA |
Addresses
Primary practice location
4780 SW 64TH Ave Ste 101
Davie, FL 33314-4400
Mailing address
4780 SW 64TH Ave Ste 103
Davie, FL 33314-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2122 NW 62ND St
Davie, FL 33309-1858
350 N Pine Island Rd
Suite 200
Plantation, FL 33324-1849
Phone (954) 424-4321
4780 Davie Rd
Davie, FL 33314-4400
4780 SW 64TH Ave
Suite 101
Davie, FL 33314-4400
Phone (954) 434-1705
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9106628 | FL | MD | Physician Assistant |
| 003178 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| Bass Lake Inpatient Services, LLC | Past | Accepting new patients | |
| Coastal Radiology Associates PA | Past | Accepting new patients |
Locations
4780 SW 64th Ave
Davie, FL 33314
4780 SW 64th Ave
Ste 101
Davie, FL 33314
4780 SW 64th Ave
Ste 103
Davie, FL 33314
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
2190 Highway 85 N
Niceville, FL 32578
Phone (850) 678-4131
Interoperability endpoints
- sean.del.grego.1@9582.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Davie, FL
- NPI 1558900472
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
dba Panhandle Emergency Physicians
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215948096
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Emergency Medicine Physician
- Destin, FL
- NPI 1659720654
Physician Assistant
-
- Internal Medicine Physician
- Fort Walton Beach, FL
- NPI 1467886267
-
- Diagnostic Radiology Physician
- Fort Walton Beach, FL
- NPI 1750524393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1427021377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4780 SW 64TH AVE STE 103",
"city": "DAVIE",
"state": "FL",
"postal_code": "333144400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4780 SW 64TH AVE STE 101",
"city": "DAVIE",
"state": "FL",
"postal_code": "333144400",
"telephone_number": "954-434-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL GREGO",
"first_name": "SEAN",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106628",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "003178",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.