S U R DOCTORS GROUP, LLC (NPI# 1215308853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215308853 |
| Entity Type | Organization |
| Organization Name | S U R DOCTORS GROUP, LLC |
| Practice Address |
3175 S Congress Ave Suite 304 Palm Springs FL 33461-2500 |
| Practice Telephone | 5615984864 |
| Mailing Telephone | 5615984864 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | MR. JUAN R RODRIGUEZ (OWNER/ CEO) |
| Authorized Official Telephone | 5615038661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
3175 S CONGRESS AVE SUITE 304 |
| City | PALM SPRINGS |
| State | FL |
| Zip Code | 33461-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028515 | Arnold Jay Simon | Internal Medicine | 3175 S Congress Ave, Suite #305, Palm Springs, FL 33461-2500 | 2006-01-23 |
| 1497291181 | New Path Wellness Center LLC | Counselor | 3175 S Congress Ave, 204, Palm Springs, FL 33461-2500 | 2017-01-18 |
| 1427469774 | Stepping Up Recovery, LLC | Clinic/Center | 3175 S Congress Ave, Suite # 304, Palm Springs, FL 33461-2500 | 2014-05-08 |
| 1861830085 | Charles Edward Brooks | Counselor | 3175 S Congress Ave, Suite 304, Palm Springs, FL 33461-2500 | 2013-06-10 |
| 1023311099 | Palm Springs Massage Therapy Inc | Reflexologist | 3175 S Congress Ave, Suite 105, Palm Springs, FL 33461-2500 | 2010-12-14 |
| 1245319243 | Anthony Kirindongo Md Corp | Family Medicine | 3175 S Congress Ave, Suite 105, Palm Springs, FL 33461-2562 | 2006-11-02 |
| 1790702447 | Bain L Mckinney | Nurse Practitioner | 3175 S Congress Ave, Suite 201, Palm Springs, FL 33461-2500 | 2006-07-17 |
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|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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|---|---|---|---|---|
| 1659978229 | Southern Florida Psychiatric Services LLC | Psychologist | 10750 Se Federal Hwy, Hobe Sound, FL 33455-4920 | 2020-10-06 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1215490099 | And Recovery & Behavioral Health LLC | Psychologist | 4711 2nd Ave S, St Petersburg, FL 33711-1013 | 2019-04-09 |
| 1285117549 | Parthenon Medical Pllc | Psychologist | 5105 Bowden Rd Ste 3, Jacksonville, FL 32216-5907 | 2018-09-12 |
| 1932688173 | Ecounsel LLC | Psychologist | 120 S Olive Ave # 602, West Palm Beach, FL 33401-5501 | 2018-08-08 |
| 1730670167 | Alonderay Abner-johnson | Psychologist | 7357 120th Ave N, West Palm Beach, FL 33412-1463 | 2018-05-22 |
| 1942711841 | Alma Center LLC | Psychologist | 17100 Royal Palm Blvd Ste 1, Weston, FL 33326-2308 | 2017-10-18 |
| 1871022590 | South Florida Addiction & Recovery Group, LLC | Psychologist | 4824 10th Ave N, Greenacres, FL 33463-2208 | 2017-06-06 |
| 1427582949 | John Marika | Psychologist | 830 Bayside Ln, Weston, FL 33326-3340 | 2017-04-12 |
| 1184075152 | Dr. Duane Frisby | Psychologist | 1767 Harborside Cir, Wellington, FL 33414-8068 | 2016-06-30 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on S U R DOCTORS GROUP, LLC.
| 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.