Healthcare Provider Details

I. General information

NPI: 1891184149
Provider Name (Legal Business Name): FLORIDA SURGICAL SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2015
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 MANATEE AVE E SUITE 102
BRADENTON FL
34208-1147
US

IV. Provider business mailing address

607 MANATEE AVE E SUITE 102
BRADENTON FL
34208-1147
US

V. Phone/Fax

Practice location:
  • Phone: 813-486-8455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: PAUL TOOMEY
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 813-486-8455