NPI Code Detail JSON Logo

1083543979 NPI number — DR. CARLOS J SAMADA LLC

NPI Number: 1083543979
Health Care Provider/Practitioner: DR. CARLOS J SAMADA LLC

Information about “1083543979” NPI (DR. CARLOS J SAMADA LLC) exists in 1083543979 in HTML format HTML  |  1083543979 in plain Text format TXT  |  1083543979 in PDF (Portable Document Format) PDF  |  1083543979 in an XML format XML  formats.

NPI Number : 1083543979 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083543979",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DR. CARLOS J SAMADA LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14305 SW 150TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33196-5607",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-859-1533",
    "MailingAddressFaxNumber": "786-904-8859",
    "FirstLinePracticeLocationAddress": "263 SAINT THOMAS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KEY LARGO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33037-4321",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-859-1533",
    "PracticeLocationAddressFaxNumber": "786-904-8859",
    "EnumerationDate": "05/16/2026",
    "LastUpdateDate": "05/16/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SAMADA",
    "AuthorizedOfficialFirstName": "CARLOS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DPM",
    "AuthorizedOfficialTelephoneNumber": "305-859-1533",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "213E00000X",
        "TaxonomyName": "Podiatrist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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