MEDICARE: SOUTH FLORIDA SURGICAL SPECIALISTS LLC

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
1	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1487594958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA SURGICAL SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	3001 CORAL HILLS DR STE 320
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4172
Country	:	US
Telephone Number	:	954-213-4741
Fax Number	:	954-755-2209

Provider Business Practice Location Address
First Line	:	13722 S JOG RD STE A
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-5909
Country	:	US
Telephone Number	:	954-633-2397
Fax Number	:	954-532-7729

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	KUSH HARSHAVARDHAN TRIPATHI
Credential	:	MD
Telephone Number	:	816-517-1406

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/10/2026

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