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Contact Information

SEDAROS & SEDAROS MD PA
25 E SILVER PALM AVE
MELBOURNE, FL32901
 Phone: 321-725-3022
 Fax: 321-952-8969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SEDAROS & SEDAROS MD PA

NPI # 1457527608
LBN Legal business name SEDAROS & SEDAROS MD PA
Authorized official SOHAIR SEDAROS - (MEDICAL DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2008
Last updated 07/02/2010 - About 16 years ago
Identifiers
FL License # ME0023230
FL License # ME0028265
FL Medicaid 057027300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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