SFM SURGERY XI (NPI# 1366848954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366848954 |
| Entity Type | Organization |
| Organization Name | SFM SURGERY XI |
| Practice Address |
4000 Hollywood Blvd Suite 160 North Hollywood FL 33021-6751 |
| Mailing Address |
3343 State Road 7 Wellington FL 33449-8002 |
| Practice Telephone | 9549866366 |
| Practice Fax Number | 5617918742 |
| Mailing Telephone | 5617959845 |
| Mailing Fax Number | 5617918742 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |
| Authorized Official Name | RAVI PATEL (MANAGING DIRECTOR) |
| Authorized Official Telephone | 5617959845 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH FLORIDA MEDICINE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
4000 HOLLYWOOD BLVD SUITE 160 NORTH |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-6751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760400030 | Robert B Donoway | Surgery | 4000 Hollywood Blvd, Presidential Circle, Suite 160 North, Hollywood, FL 33021-6751 | 2006-07-17 |
| 1285244335 | Selena Concepcion | Behavior Technician | 4000 Hollywood Blvd, Hollywood, FL 33021-6751 | 2020-08-04 |
| 1831550201 | Pure Life Renal of Stoughton LLC | Clinic/Center | 4000 Hollywood Blvd, Suite 300-n, Hollywood, FL 33021-1242 | 2016-03-14 |
| 1730548793 | Good Friend Counseling Services | Community/Behavioral Health | 4000 Hollywood Blvd, Hollywood, FL 33021-6751 | 2016-02-18 |
| 1083089114 | Helping Hand Miracles Foundation, LLC | Nursing Facility/Intermediate Care Facility | 4000 Hollywood Blvd, Suite 555-south, Hollywood, FL 33021-6751 | 2015-12-01 |
| 1891166971 | 21st Century Oncology LLC | Surgery | 4000 Hollywood Blvd, Presidential Circle - Suite 160 North, Hollywood, FL 33021-6751 | 2015-10-14 |
| 1588076251 | Vikke Brooks | Marriage & Family Therapist | 4000 Hollywood Blvd, Suite 555-s, Hollywood, FL 33021-6751 | 2014-05-28 |
| 1679985790 | Multi-systemic Solutions LLC | Community/Behavioral Health | 4000 Hollywood Blvd, Suite 555-s, Hollywood, FL 33021-6751 | 2014-05-22 |
| 1558792960 | Hollywood Dialysis LLC | Clinic/Center | 4000 Hollywood Blvd, Suite 175s, Hollywood, FL 33021-6775 | 2013-12-11 |
| 1801228770 | Charlotte Evans | Social Worker | 4000 Hollywood Blvd, Suite 555, Hollywood, FL 33021-6751 | 2013-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| 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 |
|---|---|---|---|---|
| 1578512240 | Heather R Wright | Surgery | 1150 N 35th Ave Ste 170, Hollywood, FL 33021-5424 | 2006-05-09 |
| 1205206992 | South Broward Hospital District | Surgery | 1150 N 35th Ave Ste 650, Hollywood, FL 33021 | 2015-10-07 |
| 1194022103 | Donoway Center for Cancer Treatment and Prevention Inc | Surgery | 4000 Hollywood Blvd, Suite 160n, Hollywood, FL 33021-6751 | 2011-02-28 |
| 1134260573 | Surgical Oncology Associates of South Florida Inc | Surgery | 4000 Hollywood Blvd, Presidential Circle, Suite 160 North, Hollywood, FL 33021-6751 | 2007-02-09 |
| 1962500207 | Christopher J Gannon | Surgery | 1150 N 35th Ave Ste 650, Hollywood, FL 33021 | 2006-09-20 |
| 1528076452 | South Broward Hospital District | Surgery | 1150 N 35th Ave Ste 170, Hollywood, FL 33021 | 2006-08-04 |
| 1548238744 | Arthur H Pomerantz | Surgery | 3800 Johnson St, Suite A, Hollywood, FL 33021-6030 | 2006-03-14 |
| 1730151853 | Erica Victoria Bloomquist | Surgery | 1150 N 35th Ave, Suite 205a, Hollywood, FL 33021-5424 | 2006-02-02 |
| 1598750408 | Phyllis Neimark | Surgery | 1150 N 35th Ave, Suite-495, Hollywood, FL 33021-5424 | 2005-09-16 |
| 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 |
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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.