NPIMap

Organization Active NPI

Sedaros & Sedaros MD PA

  • Family Medicine Physician
  • Melbourne, FL
National Provider Identifier
1457527608
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0028265 Issued in FL
Legal business name
SEDAROS & SEDAROS MD PA
Practice address
25 E Silver Palm Ave
Melbourne, FL 32901
Phone
(321) 725-3022
Fax
(321) 952-8969
NPI assigned
May 7, 2008
Last updated
Jul 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Dr. Sohair Labib Sedaros, MDNPI 1528123320
Title
Medical Doctor
Phone
(321) 725-3022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X ME0028265 FL Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X ME0023230 FL

Addresses

Primary practice location

25 E Silver Palm Ave
Melbourne, FL 32901

Mailing address

25 E Silver Palm Ave
Melbourne, FL 32901
Phone (321) 725-3022

Other names 1

  • Sohair L Sedaros MD PA Other name

National Provider Directory

National Provider Directory

Locations

25 Silver Palm Ave
Ste A
Melbourne, FL 32901
Phone (321) 725-3022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1457527608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E SILVER PALM AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-725-3022",
            "fax_number": "321-952-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E SILVER PALM AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-725-3022",
            "fax_number": "321-952-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDAROS & SEDAROS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "SEDAROS",
        "authorized_official_first_name": "SOHAIR",
        "authorized_official_middle_name": "LABIB",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "321-725-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0028265",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0023230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sohair L Sedaros MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.