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Organization

SURGICAL GROUP LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL F LANE M.D. (PRESIDENT)
(321) 504-1000
Entity
Organization

Contact information

Practice address
1007 BEVERLY DR, ROCKLEDGE, FL 32955-2833
(321) 504-1000
(321) 632-1099
Mailing address
1007 BEVERLY DR, ROCKLEDGE, FL 32955-2833
(321) 504-1000
(321) 632-1099

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CD2994
RR MEDICARE
FL
Enumeration date
06/26/2006
Last updated
11/28/2007
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