Organization Active NPI

Surgical Specialists of Central Brevard PA

  • Surgery Physician
  • Cocoa Beach, FL
National Provider Identifier
1316147606
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Jun 10, 2010

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.