S&D Clinical Research.LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

S&D CLINICAL RESEARCH.LLC

Practice address

8140 College Pkwy Ste 104
Fort Myers, FL 33919-5189

Phone

(786) 326-5615

Fax

(239) 722-1196

NPI assigned

Oct 31, 2023

Last updated

Nov 7, 2023By 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

Ms. Soraida Tamayo Leyva, APRNNPI 1407422397

Title

Family Nurse Practitioner

Phone

(786) 326-5615

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• S@D Clinical Research.LLC Former legal business name

Locations

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.

• Soraida Tamayo Leyva, ARNP

  • Family Nurse Practitioner
  • Cape Coral, FL
  • NPI 1407422397
  NPD Authorized official

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1932972163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 COLLEGE PKWY STE 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195189",
            "telephone_number": "786-326-5615",
            "fax_number": "239-722-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 COLLEGE PKWY STE 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195189",
            "telephone_number": "786-326-5615",
            "fax_number": "239-722-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&D CLINICAL RESEARCH.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "TAMAYO LEYVA",
        "authorized_official_first_name": "SORAIDA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-326-5615",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112533200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S@D Clinical Research.LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "S@D Clinical Research.LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "S@D Clinical Research.LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Health Service Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.