SFM Surgery XI

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

SFM SURGERY XI

Practice address

4000 Hollywood Blvd
Suite 160 North
Hollywood, FL 33021-6751

Phone

(954) 986-6366

Fax

(561) 791-8742

NPI assigned

Nov 10, 2014

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

Part of

South Florida Medicine LLC

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1366848954",
    "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": "4000 HOLLYWOOD BLVD",
            "address_2": "SUITE 160 NORTH",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216751",
            "telephone_number": "954-986-6366",
            "fax_number": "561-791-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFM SURGERY XI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH FLORIDA MEDICINE LLC",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "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": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Service World Community Corp.
• Talia Sessel
• Walter Severyn, M.D.
• Melissa Jane Sevestre, MOT OTRL
• SF Medicine LLC
• Ayleen Shaban
• Richard David Shafron, MD
• Hina Y Shah
• Sweeti Shah, DO
• Zulekha Shaikh, SLP

• Surgical Oncology Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Surgical Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.