Alfredo De Castro Sodrinho, MASTER DEGREE

Primary specialty

ContractorTaxonomy code 171W00000X

License

17W00000X Issued in FL

Practice address

14000 NW 154TH Ave
Apt 05
Alachua, FL 32615-8265

Phone

(386) 418-1285

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Antardhan Das Araujo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528285285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 NW 154TH AVE",
            "address_2": "APT 05",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326158265",
            "telephone_number": "386-418-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 NW 154TH AVE",
            "address_2": "APT 05",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326158265",
            "telephone_number": "386-418-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODRINHO",
        "first_name": "ALFREDO",
        "middle_name": "DE CASTRO",
        "name_prefix": "Mr.",
        "credential": "MASTER DEGREE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "17W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT-CLAIM FOR COVERED SER",
            "identifier": "C4117",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTARDHAN",
            "last_name": "ARAUJO",
            "middle_name": "DAS",
            "prefix": "MR.",
            "credential": "TEACHER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leslie A Shaw, PTA
• Olga Aleksandrovna Shukruto, APRN, AGNP-C
• Smoaks Behavioral Systems
• Randolph Smoaks Jr.
• Manjari Smullen, L.M.T
• Sabrina Sookdeo
• Barbara Anne Specht, A.P., M.A.
• Bryn C Tenney, PHARMD
• TH MG Florida LLC
• Jennifer Thalmann

• Contractor in Alachua, FL
• Providers in Alachua, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.