Provider Demographics
NPI:1497926166
Name:FX SURGICAL LLC
Entity Type:Organization
Organization Name:FX SURGICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:X
Authorized Official - Last Name:CONIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:772-337-7272
Mailing Address - Street 1:10377 S US HIGHWAY 1
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-5630
Mailing Address - Country:US
Mailing Address - Phone:772-337-7272
Mailing Address - Fax:772-337-7734
Practice Address - Street 1:10377 S US HIGHWAY 1
Practice Address - Street 2:SUITE 104
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5630
Practice Address - Country:US
Practice Address - Phone:772-337-7272
Practice Address - Fax:772-337-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS78632084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty