Organization
S U R DOCTORS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN R RODRIGUEZ (OWNER/ CEO)
(561) 503-8661
Entity
Organization
Contact information
Practice address
3175 S CONGRESS AVE, SUITE 304, PALM SPRINGS, FL 33461-2500
(561) 598-4864
Mailing address
3175 S CONGRESS AVE, SUITE 304, PALM SPRINGS, FL 33461-2500
(561) 598-4864
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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