Surgical Partners of South Florida LLC.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9104117 Issued in FL

Legal business name

SURGICAL PARTNERS OF SOUTH FLORIDA LLC.

Practice address

321 SE 8TH St
Pompano Beach, FL 33060-8445

Phone

(954) 594-1527

NPI assigned

Jan 9, 2017

Last updated

Apr 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luciano John RadiNPI 1215129622

Title

Owner/a.O./P.a.

Phone

(954) 594-1527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luciano John Radi, PA-C

  • Surgical Physician Assistant
  • Fort Lauderdale, FL
  • NPI 1215129622
  Medicare reassignment Authorized official
• Domingo Delgado-Garcia, MD

  • Orthopaedic Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1700875648
  Medicare reassignment NPD

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1316483860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970528",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330970528",
            "telephone_number": "954-227-8224",
            "fax_number": "954-227-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SE 8TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608445",
            "telephone_number": "954-594-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PARTNERS OF SOUTH FLORIDA LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "RADI",
        "authorized_official_first_name": "LUCIANO",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/A.O./P.A.",
        "authorized_official_telephone_number": "954-594-1527"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9104117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Eye Care PLLC (Heather Schaffer, O.D.)
• Sunshine Therapy Place
• Ambika Sureshkumar, MD
• Surgical Assist, LLC
• Surgical Innovations of Pompano Beach LLC
• Shawn Swain
• Terran Swancer
• Jacqueline Sweeney, LCSW
• Kayla Sweet
• Sarah Ann Swol, M.ED

• Surgical Physician Assistant in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.

Verify at the official NPI Registry.