Provider Demographics
NPI:1891184149
Name:FLORIDA SURGICAL SPECIALISTS
Entity Type:Organization
Organization Name:FLORIDA SURGICAL SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOMEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-486-8455
Mailing Address - Street 1:607 MANATEE AVE E
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1147
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:607 MANATEE AVE E
Practice Address - Street 2:SUITE 102
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1147
Practice Address - Country:US
Practice Address - Phone:813-486-8455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryGroup - Multi-Specialty