Organization
BRIDGES SURGICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS JOSEPH (VP)
(772) 461-7500
Entity
Organization
Contact information
Practice address
1900 NEBRASKA AVE, SUITE 4, FORT PIERCE, FL 34950-4837
(772) 461-7500
Mailing address
1900 NEBRASKA AVE, SUITE 4, FORT PIERCE, FL 34950-4837
(772) 461-7500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94791
BCBS OF FL
FL
Enumeration date
05/31/2006
Last updated
04/20/2008
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