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Organization
CHILDREN'S SURGICAL SPECIALISTS, PA
Active
Organization
CHILDREN'S SURGICAL SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN I GINGER (PRACTICE ADMINISTRATOR)
(561) 613-4011
Entity
Organization
Contact information
Practice address
9970 CENTRAL PARK BLVD N, STE 202, BOCA RATON, FL 33428
(561) 852-0038
(561) 852-2261
Mailing address
9970 CENTRAL PARK BLVD N, STE 202, BOCA RATON, FL 33428
(561) 852-0038
(561) 852-2261
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
NULL
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257033500
—
FL
Enumeration date
11/21/2005
Last updated
12/13/2013
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