SOUTHERN SURGICAL SPECIALTIES LLC (NPI# 1083968028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083968028 |
| Entity Type | Organization |
| Organization Name | SOUTHERN SURGICAL SPECIALTIES LLC |
| Practice Address |
5210 Belfort Rd Suite 130 Jacksonville FL 32256-6024 |
| Mailing Address |
Po Box 551596 Jacksonville FL 32255-1596 |
| Practice Telephone | 9043320600 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | MICHAEL BOYLE (OWNER) |
| Authorized Official Telephone | 9042826331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
ME72876 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
5210 BELFORT RD SUITE 130 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-6024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619909686 | Eiber Radiology Inc | Radiology | 5210 Belfort Rd, Suite 130, Jacksonville, FL 32256-6024 | 2006-07-07 |
| 1912442260 | Susan Ann Oliver | Counselor | 5210 Belfort Rd, Suite 200, Jacksonville, FL 32256-6024 | 2016-12-22 |
| 1548715717 | The Cataract Vision Institute LLC | Clinic/Center | 5210 Belfort Rd, Suite 110, Jacksonville, FL 32256-6024 | 2016-08-17 |
| 1053798041 | Vondarius Lane | Social Worker | 5210 Belfort Rd, Jacksonville, FL 32256 | 2015-04-29 |
| 1174881486 | The Lasik Vision Institute, LLC | Clinic/Center | 5210 Belfort Rd, Suite 110, Jacksonville, FL 32256-6024 | 2012-04-25 |
| 1538333117 | Ascent Diagnostic Imaging of Jacksonville LLC | Radiology | 5210 Belfort Rd, Ste 130, Jacksonville, FL 32256-6024 | 2008-04-15 |
| 1467512764 | Pulmonary and Critical Care Associates Pa | Internal Medicine | 5210 Belfort Rd, Suite 130, Jacksonville, FL 32256-6024 | 2006-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215101902 | 21st Century Oncology of Jacksonville LLC | Surgery | 1235 San Marco Blvd, Suite 3, Jacksonville, FL 32207-8554 | 2008-04-15 |
| 1972510592 | Carmine M Volpe | Surgery | 655 W 8th St, Ufjp Surgery Department, Jacksonville, FL 32209-6511 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162228 | Florida Surgical Care LLC | Surgery | 2301 N University Dr Ste 204, Pembroke Pines, FL 33024-3617 | 2020-10-23 |
| 1699234534 | Breast Specialists of South Florida, LLC | Surgery | 130 Jfk Dr Ste 132, Atlantis, FL 33462-1133 | 2019-03-19 |
| 1659755783 | Genesiscare Usa of Florida LLC | Surgery | 8925 Colonial Center Dr Ste 2000, Fort Myers, FL 33905-7813 | 2015-07-18 |
| 1114365244 | Ahkeel Ikadon Hasani Allen | Surgery | 7500 Sw 87th Ave Ste 201, Miami, FL 33173-5426 | 2013-06-11 |
| 1003150889 | Daniel A. Osman | Surgery | 2456 Bay Isle Ct, Weston, FL 33327-1410 | 2012-11-19 |
| 1073834883 | David H Owen Md Pa | Surgery | 2623 S Seacrest Blvd Ste 108, Boynton Beach, FL 33435-7531 | 2010-06-15 |
| 1598082521 | Neha Goel | Surgery | 1120 Nw 14th St Ste 450, Miami, FL 33136 | 2010-04-30 |
| 1235373846 | Paris Sabo | Surgery | 2109 60th St W Ste A, Bradenton, FL 34209-5526 | 2009-04-27 |
| 1356582381 | Bassan Jorge Allan | Surgery | 4571 Colonial Blvd Ste 100, Fort Myers, FL 33966 | 2009-03-21 |
| 1043474125 | Mount Sinai Medical Center Surgical Oncology, LLC | Surgery | 4306 Alton Rd Fl 2, Comprehensive Cancer Center, Miami Beach, FL 33140-2840 | 2008-07-17 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.