Surgical Consulting Group Pa

LBN: Surgical Consulting Group Pa
Surgical Consulting Group Pa is an health care organization with primary practice located at 3050 Champion Ring Rd , Fort Myers FL 33905-5599. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Surgical Consulting Group Pa can be contacted via phone (941) 621-6577, or through Rideout, David T via phone (207) 240-3362.

Contact Information

Primary practice address
3050 Champion Ring Rd Fort Myers FL 33905-5599
Phone: (941) 621-6577
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rideout, David T Doctor of Medicine (MD)
Phone: (207) 240-3362

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME129811 Florida

Profile Details

NPI number 1114410214
LBN Legal business name Surgical Consulting Group Pa
DBA Doing business as
Authorized official Rideout, David T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2018
Last updated Jul 15th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114410214 NPPES
Florida MEDICAID 102201400

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