Individual provider Active NPI

Sean Francis Del Grego, PA-C

  • Physician Assistant
  • Davie, FL
National Provider Identifier
1427021377
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106628 Issued in FL
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130523000125 FL Practitioner - Physician Assistant 8628216165 Reassigns benefits to 3 organizations

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
Associatesmd Medical Group IncGroup PAC ID 6507294311, 38 clinicians

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

LicenseStateTypeSpecialty
PA9106628FLMDPhysician Assistant
003178GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services LLC Physician Assistant CurrentSince Mar 30, 2019 Accepting new patients
Associatesmd Medical Group Inc CurrentSince Jun 8, 2025 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Mar 30, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.