Active NPI
Surgical Specialists of Central Brevard PA
- Surgery Physician
- Cocoa Beach, FL
National Provider Identifier
1316147606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SURGICAL SPECIALISTS OF CENTRAL BREVARD PA
- Practice address
- 1980 N Atlantic Ave
Suite 602
Cocoa Beach, FL 32931-5213 - Phone
- (321) 783-8400
- Fax
- (321) 783-7129
- NPI assigned
- Jul 24, 2007
- 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
- Michael J McLaughlin, MD
- Title
- President Owner
- Phone
- (321) 783-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1980 N Atlantic Ave
Suite 602
Cocoa Beach, FL 32931-5213
Mailing address
PO Box 320388
Cocoa Beach, FL 32932-0388
Phone (321) 783-8400
National Provider Directory
National Provider DirectoryLocations
1980 N Atlantic Ave
Ste 602
Cocoa Beach, FL 32931
Phone (321) 783-8400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276128000000",
"number": "1316147606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 320388",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329320388",
"telephone_number": "321-783-8400",
"fax_number": "321-783-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 N ATLANTIC AVE",
"address_2": "SUITE 602",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329315213",
"telephone_number": "321-783-8400",
"fax_number": "321-783-7129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SPECIALISTS OF CENTRAL BREVARD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-24",
"last_updated": "2010-06-10",
"status": "A",
"authorized_official_last_name": "MCLAUGHLIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "321-783-8400",
"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 Cocoa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.