MEDICARE: FORT LAUDERDALE SURGICAL SPECIALISTS P A

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	208600000X	Surgery Physician	ME42654	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679665129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT LAUDERDALE SURGICAL SPECIALISTS P A

Provider Business Mailing Address
First Line	:	4801 N FEDERAL HWY
Second Line	:	SUITE 101
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4618
Country	:	US
Telephone Number	:	954-202-0242
Fax Number	:	954-202-0243

Provider Business Practice Location Address
First Line	:	4801 N FEDERAL HWY
Second Line	:	SUITE 101
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4618
Country	:	US
Telephone Number	:	954-202-0242
Fax Number	:	954-202-0243

Authorized Official
Title or Position	:	OWNER/ PRESIDENT
Name	:	JONATHAN SCOTT LEVINE
Credential	:	MD
Telephone Number	:	954-202-0242

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	09/18/2007

Similar Medicare Providers

1336182401 — ALAN J YESNER M.D.
Practice Location Address:

4801 N FEDERAL HWY , 102
FT LAUDERDALE, FL
33308-4618

Practice Phone: 954-493-8666
Practice Fax: 954-938-4412

1841224797 — J.C. MEEROFF M.D., P.A.
Practice Location Address:

4801 N FEDERAL HWY , SUITE 202 EAST
FORT LAUDERDALE, FL
33308-4618

Practice Phone: 954-771-9297
Practice Fax: 954-771-9913

1548283393 — JONATHAN SCOTT LEVINE M.D.
Practice Location Address:

4801 N FEDERAL HWY , SUITE # 101
FORT LAUDERDALE, FL
33308-4618

Practice Phone: 954-202-0242
Practice Fax: 954-202-0243

1982909537 — GEORGE GEORGAKAKIS M.D. P.A.
Practice Location Address:

4801 N FEDERAL HWY , SUITE 302
FORT LAUDERDALE, FL
33308-4618

Practice Phone: 954-493-8773
Practice Fax: 954-493-8807

1942589817 — J.C. MEEROFF MD PA
Practice Location Address:

4801 N FEDERAL HWY , SUITE 202 EAST
FORT LAUDERDALE, FL
33308-4618

Practice Phone: 954-771-9297
Practice Fax: 954-771-9913

1326692781 — DR. STEPHANIE TINE DPM
Practice Location Address:

4801 N FEDERAL HWY STE 101
FORT LAUDERDALE, FL
33308-4618

Practice Phone: 754-444-9258
Practice Fax:

Directions to “FORT LAUDERDALE SURGICAL SPECIALISTS P A ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.