Senior Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SENIOR MEDICAL ASSOCIATES LLC

Practice address

9633 W Broward Blvd Ste 9
Plantation, FL 33324-2332

Phone

(954) 990-8382

NPI assigned

Oct 22, 2021

Organization subpart

Yes

Parent organization

SENIOR MEDICAL ASSOCIATES LLCAs reported in NPPES

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

Authorized official

Name

Carlos De Solo

Title

Chief Executive Officer

Phone

(305) 649-8100

Specialties & licenses 1

Addresses

Part of

Senior Medical Associates LLC

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Junia G Avin Papillon, ARNP

  • Adult Health Nurse Practitioner
  • Plantation, FL
  • NPI 1205920857
  NPD
• Peter Elias Hadeed, MD

  • General Practice Physician
  • Plantation, FL
  • NPI 1194812750
  NPD
• Juliet M. Interiano, ARNP

  • Family Nurse Practitioner
  • Sunrise, FL
  • NPI 1396086724
  NPD (past)
• Melody Arcila Martin, ARNP

  • Family Nurse Practitioner
  • Oakland Park, FL
  • NPI 1164892048
  NPD (past)

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1679237069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292",
            "telephone_number": "305-649-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 W BROWARD BLVD STE 9",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242332",
            "telephone_number": "954-990-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR MEDICAL ASSOCIATES LLC",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "DE SOLO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-649-8100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisandra Seijo-Rodriguez, DNP,CRNA,ARNP
• Jodine Madline Sejour Donatien, MD
• Allan Martin Selbst, M.D.
• Kenneth Selbst, M.D.
• Select Physical Therapy Holdings Inc
• Senior Proof Inc
• Seniorbridge-Florida LLC
• Sensing Synergy
• Yirina Serpa Lorenzo
• Aurora Cortes Serrano, RPT

• Family Medicine Physician in Plantation, FL
• Providers in Plantation, 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 Aug 19, 2024; 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.