Sedaros & Sedaros MD PA

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

Organization subpart

No

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

Authorized official

Name

Dr. Sohair Labib Sedaros, MD

Title

Medical Doctor

Phone

(321) 725-3022

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sohair L Sedaros MD PA Other name

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057027300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sohair L Sedaros MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Second Family Caregiving, LLC
• Julie Secrest
• Melissa Secrest
• Donna Jo Billie Secura, LMT
• Tomor Sedaliu
• Sohair L Sedaros, MD
• Steve Adlai Sedaros, DMD
• Abigail Marie Seeback, RN
• Robert C Seelman, MD
• Daniel N Segina, MD

• Family Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Family Medicine Physician in Florida

• 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.