Sedona Enterprises

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

SEDONA ENTERPRISES

Practice address

841 S Ponce de Leon Blvd Ste 4
Saint Augustine, FL 32084-6008

Phone

(904) 907-2228

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By 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

Charlette Burleson

Title

Practice Manager

Phone

(352) 694-6331

Specialties & licenses 1

Addresses

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.

• Edward J Lucas Jr., MD

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1659301109
  NPD (past)

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1841885639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 SW HIGHWAY 200 UNIT 119",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344768307",
            "telephone_number": "352-694-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 S PONCE DE LEON BLVD STE 4",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320846008",
            "telephone_number": "904-907-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDONA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "BURLESON",
        "authorized_official_first_name": "CHARLETTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "352-694-6331"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Searle, M.D.
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• Seaside Nutrition LLC
• Jennifer Seda Ramirez, M.D.
• Kayley Seda
• Karen Gail Selig, L.M.F.T.
• Kirsten Nicole Senderling, DPT,PT
• Douglas Senecal, PA
• Senior Care of St Johns Operator LLC (St Johns Health Care Center)
• Sensational Kids Therapy, PLLC

• Clinical Pathology/Laboratory Medicine Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinical Pathology/Laboratory Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.