Senior Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SENIOR MEDICAL ASSOCIATES LLC

Practice address

735 E Oakland Park Blvd
Oakland Park, FL 33334-2747

Phone

(954) 990-8382

NPI assigned

Oct 22, 2021

Organization subpart

Yes

Parent organization

SENIOR MEDICAL ASSOCIATES LLCAs reported in NPPES

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

Authorized official

Name

Carlos De Solo

Title

Chief Executive Officer

Phone

(305) 649-8100

Specialties & licenses 1

Addresses

Part of

Senior Medical Associates LLC

Locations

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1972267375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292",
            "telephone_number": "305-649-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 E OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342747",
            "telephone_number": "954-990-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR MEDICAL ASSOCIATES LLC",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "DE SOLO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-649-8100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahra Sealy
• Mitchell S Seavey, MD
• Diana Zulema Seguro, DMD
• Julie Seide, CASE MANAGER
• Robert Seiler
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• Colby Serpa
• Anjali Kala Shahi, MD
• Jeffrey Joseph Shapiro, R.K.T.
• Medha Sharma, M.D.

• Family Medicine Physician in Oakland Park, FL
• Providers in Oakland Park, 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 Aug 19, 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.