Surgical Services of Florida Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 71266 Issued in FL

Legal business name

SURGICAL SERVICES OF FLORIDA INC

Practice address

11341 NW 42ND Ter
Doral, FL 33178-1810

Phone

(305) 761-9392

Fax

(305) 381-0548

NPI assigned

Jun 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carlos A Blanco, M.D.NPI 1699716670

Title

President

Phone

(305) 761-9392

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Carlos A. Blanco Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Alberto Blanco, MD

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1699716670
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1043413727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527432",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331527432",
            "telephone_number": "305-761-9392",
            "fax_number": "305-381-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11341 NW 42ND TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331781810",
            "telephone_number": "305-761-9392",
            "fax_number": "305-381-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SERVICES OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-761-9392",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 71266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250957100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1699716670",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266547600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlos A. Blanco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Super Advance Services Inc.
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• Superior Med Solutions LLC
• Superior Pharmacy Group
• Superstar Home Health Care Inc
• America Suri, PN
• Daniel A Suri
• Carol Sutton
• Maria Suyama
• Franchy Svelti

• Family Medicine Physician in Doral, FL
• Providers in Doral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.