NPIMap

Organization Active NPI

Veredy S.a.S LLC

  • Surgical Assistant
  • Davie, FL
National Provider Identifier
1871015701
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
VEREDY S.A.S LLC
Practice address
705 SW 148 Av Apt 202
Davie, FL 33325
Phone
(954) 801-8559
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Edinson Antonio Matos, SA-C
Title
Sa-C
Phone
(954) 801-8559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZC0007X FL Primary

Addresses

Primary practice location

705 SW 148 Av Apt 202
Davie, FL 33325

Mailing address

705 SW 148TH Ave Apt 202
Davie, FL 33325-3081
Phone (954) 801-8559

Other names 1

  • Veredy S.A.S LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871015701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SW 148TH AVE APT 202",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253081",
            "telephone_number": "954-801-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SW 148 AV APT 202",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33325",
            "telephone_number": "954-801-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEREDY S.A.S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "EDINSON",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "SA-C",
        "authorized_official_telephone_number": "954-801-8559",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veredy S.A.S LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Veredy S.A.S LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.