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NPI Code Detail

MEDICARE: 3535 SURGICAL GROUP

MEDICARE: 3535 SURGICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081N0008XNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician1803272OH

General Provider Information

NPI Number : 1194051185
Entity Type Code : Organization
Provider Name (Legal Business Name) : 3535 SURGICAL GROUP
Provider Business Mailing Address
First Line : 40 SE 5TH ST
Second Line : SUITE 406
City : BOCA RATON
State : FL
Zip : 33432-6003
Country : US
Telephone Number : 561-368-7118
Fax Number : 561-368-7116
Provider Business Practice Location Address
First Line : 3535 LEE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5122
Country : US
Telephone Number : 216-921-8922
Fax Number : 216-921-8940
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. BEN ORTEGA
Credential : MD
Telephone Number : 561-368-7118
Provider Enumeration Date : 10/26/2009
Last Update Date : 10/26/2009

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Directions to “3535 SURGICAL GROUP ” Practice Location

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