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General NPI Number Information
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NPI Number | 1447390604
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA SURGICAL GROUP
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 8940 N KENDALL DR STE 803E
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City | MIAMI
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State | FL
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Zip | 33176-2151
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Country | US
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Telephone | 305-279-9522
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Fax | 305-279-3218
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Provider Business Mailing Address
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Address Line | 8755 SW 94TH ST SUITE 200
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City | MIAMI
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State | FL
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Zip | 33176-2407
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Country | US
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Telephone | 305-279-9522
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Fax | 305-279-3218
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Authorized Official
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Title or Position | CREDENTIALING MGR
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Name | LISA MERKOW
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Credential |
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Telephone | 277-800-9958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0064414
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0040910
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License Number State | FL
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