Australian Prowfish Surgical Specialists LLC
Organization Active NPI Surgery Physician · Sanford, FL
NPI 1487052528 · NPPES record last updated Apr 20, 2021
Key facts
- NPI
- 1487052528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- AUSTRALIAN PROWFISH SURGICAL SPECIALISTS LLC
- Practice address
- 1401 W Seminole Blvd
Sanford, FL 32771-6743 - Phone
- (469) 401-2386
- NPI assigned
- Dec 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Kathy Kondas
- Title
- Officer
- Phone
- (317) 614-9871
Practitioners 1
-
Gregory J Byrne, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes | ||
| Trauma Surgery Physician |
2086S0127X |
Addresses
Primary practice location
1401 W Seminole Blvd
Sanford, FL 32771-6743
Mailing address
5565 Centerview Dr Ste 107
Raleigh, NC 27606-3563
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.