# SEA RANCH GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558874065
- **Authorized official:** BRIGIDA FENELON (DIRECTOR OF BUSINESS OPERATIONS)
- **Authorized official phone:** (954) 451-3010

## Contact information

- **Practice address:** 4701 N FEDERAL HWY STE A39, FORT LAUDERDALE, FL 33308-4608
- **Practice address phone:** (954) 651-9771
- **Mailing address:** 4701 N FEDERAL HWY STE A39, FORT LAUDERDALE, FL 33308-4608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2017
- **Last updated:** 11/07/2017