Active NPI
Sa Medical Physicians of FL PA
- Specialist
- Boca Raton, FL
National Provider Identifier
1871841585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SA MEDICAL PHYSICIANS OF FL PA
- Practice address
- 9325 Glades Rd
Suite 105
Boca Raton, FL 33434-3988 - Phone
- (561) 362-4400
- NPI assigned
- Aug 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khashayar Vosough, MD
- Title
- Managing Director
- Phone
- (973) 826-8287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | FL | Primary |
Addresses
Primary practice location
9325 Glades Rd
Suite 105
Boca Raton, FL 33434-3988
Mailing address
145 Route 46 West
Suite 304
Wayne, NJ 07470-6830
Phone (973) 826-8287
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346112000000",
"number": "1871841585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 ROUTE 46 WEST",
"address_2": "SUITE 304",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706830",
"telephone_number": "973-826-8287",
"fax_number": "855-834-5435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9325 GLADES RD",
"address_2": "SUITE 105",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343988",
"telephone_number": "561-362-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SA MEDICAL PHYSICIANS OF FL PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A",
"authorized_official_last_name": "VOSOUGH",
"authorized_official_first_name": "KHASHAYAR",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "973-826-8287",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.