Southern Surgical Specialties LLC

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

ME72876 Issued in FL

Legal business name

SOUTHERN SURGICAL SPECIALTIES LLC

Practice address

6260 W Atlantic Blvd Ste 2
Margate, FL 33063-5129

Phone

(954) 494-5530

Fax

(954) 514-9000

NPI assigned

Oct 30, 2012

Organization subpart

No

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

Authorized official

Name

Michael Boyle, MDNPI 1245294552

Title

Owner

Phone

(954) 494-5530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Michael John Boyle, M.D.

  • Surgery Physician
  • Show Low, AZ
  • NPI 1245294552

  FL, Surgical Oncology

  Medicare reassignment NPD Authorized official
• Michael Clerveus, M.D.

  • Surgery Physician
  • Margate, FL
  • NPI 1922460963
  Medicare reassignment NPD

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1083968028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551596",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 W ATLANTIC BLVD STE 2",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635129",
            "telephone_number": "954-494-5530",
            "fax_number": "954-514-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SURGICAL SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-494-5530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME72876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Surgical Specialists, LLC
• South Florida Vision Services, Inc.
• South Florida Wound Care Management LLC
• Southeast Gynecological Specialty PA
• Southeast Medical Centers
• Spark of Hope, LLC.
• Spark of Hope, LLC.
• Claudine Spence, COTA
• Thomas Spiegel
• Spirelli Healthcare of Broward

• Surgical Oncology Physician in Margate, FL
• Providers in Margate, FL by specialty
• Surgical Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.