Organization
SURGERY SPECIALISTS OF BROWARD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS GOLD M.D. (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
7421 N UNIVERSITY DR, SUITE 205, TAMARAC, FL 33321-2977
(954) 476-9899
(954) 476-9180
Mailing address
PO BOX 451986, SUNRISE, FL 33345-1986
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74678
BCBS
FL
Enumeration date
11/17/2005
Last updated
08/22/2020
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