Organization
SURGICAL PARTNERS OF SOUTH FLORIDA LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIANO JOHN RADI (OWNER/A.O./P.A.)
(954) 594-1527
Entity
Organization
Contact information
Practice address
321 SE 8TH ST, POMPANO BEACH, FL 33060-8445
(954) 594-1527
Mailing address
PO BOX 970528, COCONUT CREEK, FL 33097-0528
(954) 227-8224
(954) 227-7442
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104117
FL
Other
Enumeration date
01/09/2017
Last updated
04/05/2018
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