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Organization

NEXGEN SURGICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KURT ZUMWALT (PRESIDENT CEO)
(410) 404-6815
Entity
Organization

Contact information

Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(954) 570-0337
Mailing address
1765 E NINE MILE RD STE 1-229, PENSACOLA, FL 32514-5479
(410) 429-6115

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2086S0127X
Trauma Surgery Physician
208800000X
Urology Physician

Other

Enumeration date
09/07/2017
Last updated
02/21/2020
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