Organization
SURGERY SPECIALISTS OF SOUTH BROWARD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS GOLD MD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1951 SW 172ND AVE, #411, MIRAMAR, FL 33029-5593
(954) 450-1617
(954) 450-8584
Mailing address
PO BOX 451985, SUNRISE, FL 33345-1985
(954) 838-2618
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74691
BCBS
FL
Enumeration date
10/13/2006
Last updated
08/22/2020
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