Organization
SOUTH FLORIDA SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MARK BLOOMSTON MD (PHYSICIAN/OWNER)
(239) 339-7356
Entity
Organization
Contact information
Practice address
5611 SOLERA CT, FORT MYERS, FL 33919-3432
(941) 882-0805
Mailing address
5611 SOLERA CT, FORT MYERS, FL 33919-3432
(239) 339-7356
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
01/21/2025
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