Sea Ranch Group, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SEA RANCH GROUP, INC.

Practice address

4701 N Federal Hwy Ste A39
Fort Lauderdale, FL 33308-4608

Phone

(954) 651-9771

NPI assigned

Nov 7, 2017

Last updated

Nov 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brigida Fenelon

Title

Director of Business Operations

Phone

(954) 451-3010

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1558874065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE A39",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE A39",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084608",
            "telephone_number": "954-651-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA RANCH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "FENELON",
        "authorized_official_first_name": "BRIGIDA",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "954-451-3010"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051855700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Scott
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• Orthopaedic Surgery Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.