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1255434445 NPI number — S GOLDMAN MD C PITARYS MD PL

NPI Number: 1255434445
Health Care Provider/Practitioner: S GOLDMAN MD C PITARYS MD PL

Information about “1255434445” NPI (S GOLDMAN MD C PITARYS MD PL) exists in 1255434445 in HTML format HTML  |  1255434445 in plain Text format TXT  |  1255434445 in PDF (Portable Document Format) PDF  |  1255434445 in an XML format XML  formats.

NPI Number : 1255434445 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255434445",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "S GOLDMAN MD C PITARYS MD PL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14100 FIVAY ROAD",
    "SecondLineMailingAddress": "SUITE 110",
    "MailingAddressCityName": "HUDSON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34667-7159",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-849-8771",
    "MailingAddressFaxNumber": "727-842-4962",
    "FirstLinePracticeLocationAddress": "14100 FIVAY RD STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUDSON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34667-7159",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-849-8771",
    "PracticeLocationAddressFaxNumber": "727-842-4962",
    "EnumerationDate": "09/06/2006",
    "LastUpdateDate": "09/30/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PITARYS",
    "AuthorizedOfficialFirstName": "CHRISTOS",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "PARTNER / PROVIDER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "727-849-8771",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RC0000X",
        "TaxonomyName": "Cardiovascular Disease Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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