Healthcare Provider Details

I. General information

NPI: 1326708744
Provider Name (Legal Business Name): OXFORD SURGICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2021
Last Update Date: 07/14/2022
Certification Date: 07/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 NW 84TH AVE STE 200B
PLANTATION FL
33324-1817
US

IV. Provider business mailing address

350 NW 84TH AVE STE 200B
PLANTATION FL
33324-1817
US

V. Phone/Fax

Practice location:
  • Phone: 561-317-8531
  • Fax:
Mailing address:
  • Phone: 561-317-8531
  • Fax: 954-526-6106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN ZWIBEL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 561-317-8531