5630 LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

5630 LLC

Doing business as

Sam Judah Sugar MD

Practice address

5630 Oaktree Ave
Fort Lauderdale, FL 33312-6375

Phone

(847) 571-4323

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By 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

Sam Judah Sugar, MDNPI 1346354529

Title

Owner

Phone

(847) 571-4323

Specialties & licenses 1

Addresses

Other names 1

• Sam Judah Sugar MD Doing business as

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.

• Sam J Sugar, MD

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1346354529
  Authorized official Same address or phone

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1942022413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 OAKTREE AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126375",
            "telephone_number": "847-571-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 OAKTREE AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126375",
            "telephone_number": "847-571-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5630 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "SUGAR",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "JUDAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-571-4323",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam Judah Sugar MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 3Rd Step Mental Health Center Inc
• 3Rd Step Recovery Treatment Group, Inc
• 411 Urgent Care Centers Inc
• 4Kids of South Florida, Inc.
• 53Rd Street Medical Group, LLC
• 5TH Avenue Dental PLLC (5th Avenue Dental)
• A & B Counseling LLC
• A & B Counseling Services LLC
• A & B Psychology (Azrin Nathan & Besalel Victoria Azrin)
• A & M Healthcare Services, Inc. (Accessible Home Health Care of Broward)

• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.