Active NPI
Southernmost Surgery and Veins LLC
- Surgery Physician
- Key West, FL
National Provider Identifier
1205597192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SOUTHERNMOST SURGERY AND VEINS LLC
- Practice address
- 3414 Duck Ave Ste 10
Key West, FL 33040-4427 - Phone
- (305) 741-7707
- Fax
- (833) 902-3615
- NPI assigned
- Jan 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Blass, MD
- Title
- Owner
- Phone
- (305) 394-6806
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
3414 Duck Ave Ste 10
Key West, FL 33040-4427
Mailing address
3414 Duck Ave Ste 10
Key West, FL 33040-4427
Phone (305) 741-7707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3414 Duck Ave
Unit 10
Key West, FL 33040
Phone (305) 741-7707
Interoperability endpoints
- https://api.platform.athenahealth.com/26045/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Key West, FL
- NPI 1356632335
-
- Surgery Physician
- Key West, FL
- NPI 1760564793
-
- Surgery Physician
- Key West, FL
- NPI 1922100106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653523200000",
"number": "1205597192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 DUCK AVE STE 10",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404427",
"telephone_number": "305-741-7707",
"fax_number": "833-902-3615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 DUCK AVE STE 10",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404427",
"telephone_number": "305-741-7707",
"fax_number": "833-902-3615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERNMOST SURGERY AND VEINS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-04",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A",
"authorized_official_last_name": "BLASS",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-394-6806",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.