Organization Active NPI

Sia Unlimited Inc

  • Primary Care Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1558513408
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SIA UNLIMITED INC
Practice address
1777 S Andrews Ave
Suite 201
Fort Lauderdale, FL 33316-2517
Phone
(954) 533-1104
NPI assigned
Oct 22, 2008
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Dr. Malkan Patel, D.ONPI 1134385420
Title
President
Phone
(954) 644-0284

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X FL Primary

Addresses

Primary practice location

1777 S Andrews Ave
Suite 201
Fort Lauderdale, FL 33316-2517

Mailing address

1777 S Andrews Ave
Suite 201
Fort Lauderdale, FL 33316-2517
Phone (954) 533-1104

Other identifiers 2

IdentifierTypeStateIssuer
BF912OtherFLPTAN
000389900MedicaidFL

National Provider Directory

National Provider Directory

Locations

2800 E Commercial Blvd
Ste 208
Fort Lauderdale, FL 33308
Phone (954) 533-1104

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": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1558513408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S ANDREWS AVE",
            "address_2": "SUITE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162517",
            "telephone_number": "954-533-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S ANDREWS AVE",
            "address_2": "SUITE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162517",
            "telephone_number": "954-533-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIA UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MALKAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-644-0284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BF912",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000389900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.