Organization
SOUTH FLORIDA SURGICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN C GULAREK MBA (EXECUTIVE DIRECTOR)
(954) 755-0111
Entity
Organization
Contact information
Practice address
3001 CORAL HILLS DR, SUITE 320, CORAL SPRINGS, FL 33065-4172
(954) 755-0111
(954) 755-2209
Mailing address
3001 CORAL HILLS DR, SUITE 320, CORAL SPRINGS, FL 33065-4172
(954) 755-0111
(954) 755-2209
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00643
BLUE CROSS BLUE SHIELD
FL
05
—
278013500
—
FL
05
—
278013501
—
FL
05
—
278013502
—
FL
05
—
278013503
—
FL
05
—
278013504
—
FL
05
—
278013505
—
FL
05
—
278013506
—
FL
05
—
278013507
—
FL
01
—
DH1405
MEDICARE RAILROAD
FL
Enumeration date
09/21/2006
Last updated
02/01/2024
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