SG Medical Professionals of FL PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SG MEDICAL PROFESSIONALS OF FL PA

Practice address

5245 N Socrum Loop Rd
Lakeland, FL 33809-4253

Phone

(718) 362-1403

Fax

(718) 414-1651

NPI assigned

Jan 20, 2023

Last updated

Jan 20, 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

Steven Guttmann, MD

Title

Owner

Phone

(718) 362-1403

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1962117226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "718-362-1403",
            "fax_number": "718-414-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 N SOCRUM LOOP RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094253",
            "telephone_number": "718-362-1403",
            "fax_number": "718-414-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG MEDICAL PROFESSIONALS OF FL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "GUTTMANN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-362-1403",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Seurkamp, M.A., MFT
• Alec Sevilla
• Payne Sewnarine, DPT
• Julie Ann Sexton, APRN
• Antoinette Seymour
• Sandra J Sha, MD
• Julianne Shabetai, LMHC
• Jillian D'Rae Shaffer
• Aditya Shah, MD
• Hina A Shah, RPH

• Family Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.