# SFM SURGERY XIV

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH FLORIDA MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073928388
- **Legal business name:** SOUTH FLORIDA MEDICINE
- **Authorized official:** MR. RAJIV PATEL (MANAGING DIRECTOR)
- **Authorized official phone:** (561) 795-9845

## Contact information

- **Practice address:** 5258 LINTON BLVD, SUITE 104, DELRAY BEACH, FL 33484-6540
- **Practice address phone:** (561) 654-1004
- **Practice address fax:** (561) 791-8742
- **Mailing address:** 3343 STATE ROAD 7, WELLINGTON, FL 33449-8002
- **Mailing address phone:** (561) 795-9845
- **Mailing address fax:** (561) 795-8791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2014
- **Last updated:** 12/09/2014
