Organization
SFM SURGERY II, LLC
Active
Parent organization
SOUTH FLORIDA MEDICINE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH FLORIDA MEDICINE LLC
Authorized official
RAVI PATEL (MANAGING DIRECTOR)
(561) 795-9845
Entity
Organization
Contact information
Practice address
12160 S SHORE BLVD, SUITE 103, WELLINGTON, FL 33414-6504
(561) 798-7494
(561) 746-1162
Mailing address
3343 STATE ROAD 7, WELLINGTON, FL 33449-8002
(561) 795-9845
(561) 791-8742
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME78137
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008584100
—
FL
Enumeration date
02/11/2015
Last updated
02/11/2015
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