SFM Surgery II, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME78137 Issued in FL

Legal business name

SFM SURGERY II, LLC

Practice address

12160 S Shore Blvd
Suite 103
Wellington, FL 33414-6504

Phone

(561) 798-7494

Fax

(561) 746-1162

NPI assigned

Feb 11, 2015

Last updated

Feb 11, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH FLORIDA MEDICINE LLCAs reported in NPPES

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

Authorized official

Name

Ravi Patel

Title

Managing Director

Phone

(561) 795-9845

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

South Florida Medicine LLC

Locations

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1164813242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 STATE ROAD 7",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498002",
            "telephone_number": "561-795-9845",
            "fax_number": "561-791-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12160 S SHORE BLVD",
            "address_2": "SUITE 103",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146504",
            "telephone_number": "561-798-7494",
            "fax_number": "561-746-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFM SURGERY II, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH FLORIDA MEDICINE LLC",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "561-795-9845"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME78137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008584100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sergey Homecare Services LLC
• Sergio M. Rauchwerger DMD PL (Smile Designs LLC)
• Farah Ali Serrano, CRNA
• Seth J Herbst MD PA
• SFM Oncology II
• SFM Urology II (Palm Beach Urology Associates)
• Ricky S Shaffren, D.M.D
• Neerav S Shah, MD
• Pooja Shah, PHARMD
• Rajshree Shah, MSN

• Surgery Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.