MEDICARE: DOZIER SURGICAL 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	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1558228031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOZIER SURGICAL LLC

Provider Business Mailing Address
First Line	:	7901 4TH ST N STE 300
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33702-4399
Country	:	US
Telephone Number	:	954-674-6474
Fax Number	:

Provider Business Practice Location Address
First Line	:	6046 OCEANAIRE WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7407
Country	:	US
Telephone Number	:	954-674-6474
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MARVIN LEROY DOZIER
Credential	:	CSA
Telephone Number	:	954-674-6474

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “DOZIER SURGICAL LLC ” Practice Location

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