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1467262717 NPI number — MEDASANS

NPI Number: 1467262717
Health Care Provider/Practitioner: MEDASANS

Information about “1467262717” NPI (MEDASANS) exists in 1467262717 in HTML format HTML  |  1467262717 in plain Text format TXT  |  1467262717 in PDF (Portable Document Format) PDF  |  1467262717 in an XML format XML  formats.

NPI Number : 1467262717 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467262717",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEDASANS",
    "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": "304 INDIAN TRCE # 976",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33326-2996",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "754-200-1617",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7100 CAMINO REAL STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOCA RATON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33433-5510",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "754-200-1617",
    "PracticeLocationAddressFaxNumber": "954-656-0108",
    "EnumerationDate": "01/09/2025",
    "LastUpdateDate": "01/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GONZALEZ",
    "AuthorizedOfficialFirstName": "SEGUNDO",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "754-200-1617",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2086X0206X",
          "TaxonomyName": "Surgical Oncology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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