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General NPI Number Information
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NPI Number | 1891184149
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Entity Type | Organization
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Legal Business Name | FLORIDA SURGICAL SPECIALISTS
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 607 MANATEE AVE E SUITE 102
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City | BRADENTON
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State | FL
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Zip | 34208-1147
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Country | US
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Telephone | 813-486-8455
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Fax |
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Provider Business Mailing Address
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Address Line | 607 MANATEE AVE E SUITE 102
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City | BRADENTON
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State | FL
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Zip | 34208-1147
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | PAUL TOOMEY
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Credential | M.D.
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Telephone | 813-486-8455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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