Organization
SURGICAL CONSULTANTS OF HOLLYWOOD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS L BASS MD (PHYSICIAN)
(954) 966-8559
Entity
Organization
Contact information
Practice address
1150 N 35TH AVE, SUITE 540, HOLLYWOOD, FL 33021-5424
(954) 966-8559
(954) 966-1156
Mailing address
1150 N 35TH AVE, SUITE 540, HOLLYWOOD, FL 33021-5424
(954) 966-8559
(954) 966-1156
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME66691
FL
208600000X
Surgery Physician
ME89620
FL
208600000X
Surgery Physician
OS9744
FL
Other
Enumeration date
09/12/2007
Last updated
03/02/2012
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