Active NPI
Suncoast Surgical LLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Brooksville, FL
National Provider Identifier
1477878197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- SUNCOAST SURGICAL LLC
- Practice address
- 14540 Cortez Blvd
Suite 123
Brooksville, FL 34613-6056 - Phone
- (352) 596-5919
- NPI assigned
- Apr 6, 2010
- 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. C John Ablan, MD
- Title
- Managing Partner
- Phone
- (352) 596-5919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
14540 Cortez Blvd
Suite 123
Brooksville, FL 34613-6056
Mailing address
PO Box 116307
Atlanta, GA 30368-6307
National Provider Directory
National Provider DirectoryLocations
14540 Cortez Blvd
Ste 123
Brooksville, FL 34613
Phone (352) 596-5919
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Brooksville, FL
- NPI 1679654313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278892800000",
"number": "1477878197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116307",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303686307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14540 CORTEZ BLVD",
"address_2": "SUITE 123",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346136056",
"telephone_number": "352-596-5919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNCOAST SURGICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-06",
"last_updated": "2010-07-12",
"status": "A",
"authorized_official_last_name": "ABLAN",
"authorized_official_first_name": "C",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "352-596-5919",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.