NPIMap

Organization Active NPI

Fawzi Soliman MD PA

Doing business as Gulf Coast Surgery Center

  • Surgery Physician
  • Brooksville, FL
National Provider Identifier
1558359802
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0039643 Issued in FL
Legal business name
FAWZI SOLIMAN MD PA
Doing business as
Gulf Coast Surgery Center
Practice address
12132 Cortez Blvd
Brooksville, FL 34613-5575
Phone
(352) 596-0744
Fax
(352) 596-5401
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Mrs. Maureen Soliman
Title
RN
Phone
(352) 596-0744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME0039643 FL Primary

Addresses

Primary practice location

12132 Cortez Blvd
Brooksville, FL 34613-5575

Mailing address

12132 Cortez Blvd
Brooksville, FL 34613-5575
Phone (352) 596-0744

Other identifiers 2

IdentifierTypeStateIssuer
CA5477OtherFLRR MEDICARE
063495600MedicaidFL

Other names 1

  • Gulf Coast Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

12132 Cortez Blvd
Brooksville, FL 34613
Phone (352) 592-4711

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1558359802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12132 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135575",
            "telephone_number": "352-596-0744",
            "fax_number": "352-596-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12132 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135575",
            "telephone_number": "352-596-0744",
            "fax_number": "352-596-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAWZI SOLIMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "352-596-0744",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0039643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA5477",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063495600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 27, 2009; 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.