Sinclair Surgical PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME88406 Issued in FL

Legal business name

SINCLAIR SURGICAL PA

Practice address

131 Webb Drive
Suite B
Davenport, FL 33837-5905

Phone

(863) 421-4407

Fax

(863) 422-2888

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Karlene E Sinclair, M.D.

Title

Owner

Phone

(863) 421-4407

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1871647008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2507",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338362507",
            "telephone_number": "863-421-4407",
            "fax_number": "863-422-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WEBB DRIVE",
            "address_2": "SUITE B",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375905",
            "telephone_number": "863-421-4407",
            "fax_number": "863-422-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINCLAIR SURGICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "KARLENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-421-4407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME88406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "195424",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7127058",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2684284 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81652",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maikelin Sierra Matos
• Luz Delia Sierra
• Siesta Spring Healthcare, Inc.
• Artur Sikora, PA
• Rosmi Andrein Silva Quintero
• Karlene E Sinclair, MD
• Ulysses Singleton, DPT
• Retta Beverly Skinner
• Allistair McDonald Smith, PA
• Kristen Smith

• Surgery Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.