Sunshine State Surgical Specialists Pa in Tavares - Vascular Surgery

Sunshine State Surgical Specialists Pa - NPI 1437184090

Sunshine State Surgical Specialists Pa is a Vascular Surgery in Tavares, Florida. Sunshine State Surgical Specialists Pa practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Sunshine State Surgical Specialists Pa is 1437184090. The last update date is 2008-01-24.

Sunshine State Surgical Specialists Pa's current location address is Po Box 547, Tavares, Florida. You can contact this provider via phone number 3527421300 and fax number 3527421305. The mailing address for Sunshine State Surgical Specialists Pa is Po Box 547, Tavares, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sunshine State Surgical Specialists Pa
Address Po Box 547, Tavares, Florida
Phone Number 3527421300
Fax Number 3527421305
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bjerken S David
Credentials MD
Telephone Number 3527421300

NPI Number Detail

NPI Number 1437184090
Provider Enumeration Date 2006-07-12
Last Updated Date 2008-01-24

Provider Mailing Address Detail

Address Po Box 547
City Tavares
State Florida (FL)
Post Code 32778
Phone Number 3527421300
Fax Number 3527421305

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No ME88645
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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FAQs about Sunshine State Surgical Specialists Pa

What is the unique 10-digit identification code issued to Sunshine State Surgical Specialists Pa by the Centers for Medicare & Medicaid Services?

The Sunshine State Surgical Specialists Pa has been assigned the NPI (National Provider Identifier) 1437184090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Sunshine State Surgical Specialists Pa's facilities are situated?

The facilities of Sunshine State Surgical Specialists Pa are physically located at the following address: Po Box 547, Tavares, FL, 32778.

What is Sunshine State Surgical Specialists Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Sunshine State Surgical Specialists Pa is Vascular Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0129X.

On what date did the Sunshine State Surgical Specialists Pa receive its 1437184090 assignment from the Centers for Medicare & Medicaid Services?

The Sunshine State Surgical Specialists Pa was assigned its 1437184090 by the Centers for Medicare & Medicaid Services on 2006-07-12.

As of what date was the information regarding Sunshine State Surgical Specialists Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Sunshine State Surgical Specialists Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-24.

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