# SURGICAL PRACTICE RESOURCE GROUP OF FLORIDA INC

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

## Provider details

- **NPI number:** 1992162291
- **Authorized official:** MR. STEVE ROTH (COO)
- **Authorized official phone:** (352) 775-6348

## Contact information

- **Practice address:** 539 ROLLING ACRES RD, LADY LAKE, FL 32159
- **Practice address phone:** (352) 775-6348
- **Mailing address:** PO BOX 489, LADY LAKE, FL 32158-0489
- **Mailing address phone:** (352) 775-6348
- **Mailing address fax:** (352) 775-6352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | FL | — |

## Other

- **Enumeration date:** 01/19/2016
- **Last updated:** 08/03/2017