# S U R DOCTORS GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215308853
- **Authorized official:** MR. JUAN R RODRIGUEZ (OWNER/ CEO)
- **Authorized official phone:** (561) 503-8661

## Contact information

- **Practice address:** 3175 S CONGRESS AVE, SUITE 304, PALM SPRINGS, FL 33461-2500
- **Practice address phone:** (561) 598-4864
- **Mailing address:** 3175 S CONGRESS AVE, SUITE 304, PALM SPRINGS, FL 33461-2500
- **Mailing address phone:** (561) 598-4864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | Yes |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 10/08/2015
- **Last updated:** 10/08/2015