Healthcare Provider Details

I. General information

NPI: 1487594958
Provider Name (Legal Business Name): SOUTH FLORIDA SURGICAL SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13722 S JOG RD STE A
DELRAY BEACH FL
33446-5909
US

IV. Provider business mailing address

3001 CORAL HILLS DR STE 320
CORAL SPRINGS FL
33065-4172
US

V. Phone/Fax

Practice location:
  • Phone: 954-633-2397
  • Fax: 954-532-7729
Mailing address:
  • Phone: 954-213-4741
  • Fax: 954-755-2209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KUSH HARSHAVARDHAN TRIPATHI
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 816-517-1406