SURGICAL PRACTICE RESOURCE GROUP OF FLORIDA INC (NPI# 1992162291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992162291 |
| Entity Type | Organization |
| Organization Name | SURGICAL PRACTICE RESOURCE GROUP OF FLORIDA INC |
| Practice Address |
539 Rolling Acres Rd Lady Lake FL 32159 |
| Mailing Address |
Po Box 489 Lady Lake FL 32158-0489 |
| Practice Telephone | 3527756348 |
| Mailing Telephone | 3527756348 |
| Mailing Fax Number | 3527756352 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | MR. STEVE ROTH (COO) |
| Authorized Official Telephone | 3527756348 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
FL | Ambulatory Health Care Facilities | |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
539 ROLLING ACRES RD |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313730 | Thomas Hatton Mccoy | Orthopaedic Surgery | 539 Rolling Acres Rd, Lady Lake, FL 32159-5035 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891956397 | Paramount Urgent Care Inc | Clinic/Center | 805 E Cr 466, Lady Lake, FL 32159-0000 | 2008-06-18 |
| 1518488907 | Wellness By Physicians Inc | Clinic/Center | 733 Highway 466, Lady Lake, FL 32159-6340 | 2017-07-06 |
| 1558664938 | Meridian Health Systems, Inc | Clinic/Center | 1149 Main St, A, Lady Lake, FL 32159-7721 | 2010-12-07 |
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| Find all providers with the same taxonomy | ||||
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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.