Organization Active NPI

Surgical Treatment Center, LLC

  • Surgery Physician
  • Coral Springs, FL
National Provider Identifier
1154840577
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL TREATMENT CENTER, LLC
Practice address
831 Coral Ridge Dr
Coral Springs, FL 33071-4180
Phone
(754) 240-4408
Fax
(772) 562-7138
NPI assigned
Sep 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Malcolm Goldsmith, MD
Title
Ceo
Phone
(305) 895-5792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X FL Primary

Addresses

Primary practice location

831 Coral Ridge Dr
Coral Springs, FL 33071-4180

Mailing address

831 Coral Ridge Dr
Coral Springs, FL 33071-4180
Phone (754) 240-4408

Other identifiers 1

IdentifierTypeStateIssuer
L17000188009OtherFLDOCUMENT NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154840577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714180",
            "telephone_number": "754-240-4408",
            "fax_number": "772-562-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714180",
            "telephone_number": "754-240-4408",
            "fax_number": "772-562-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-895-5792",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCUMENT NUMBER",
            "identifier": "L17000188009",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.