Provider Demographics
NPI:1891066171
Name:CENTRAL FLORIDA SURGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:CENTRAL FLORIDA SURGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:D
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:718-249-6733
Mailing Address - Street 1:3233 SW 33RD RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-8470
Mailing Address - Country:US
Mailing Address - Phone:352-505-3313
Mailing Address - Fax:352-505-5488
Practice Address - Street 1:3233 SW 33RD RD
Practice Address - Street 2:SUITE 202
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8470
Practice Address - Country:US
Practice Address - Phone:352-505-3313
Practice Address - Fax:352-505-5488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11465208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14J9SOtherBLUE CROSS BLUE SHIELD
FL14J9SOtherBLUE CROSS BLUE SHIELD