Florida Physicians Medical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

FLORIDA PHYSICIANS MEDICAL GROUP

Doing business as

Highlands Surgical Associates

Practice address

4409 Sun N Lake Blvd
Suite C
Sebring, FL 33872-2170

Phone

(863) 385-1900

Fax

(863) 385-9229

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Bryan Stiltz

Title

President

Phone

(407) 200-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Highlands Surgical Associates Doing business as

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1568400232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 SUN N LAKE BLVD",
            "address_2": "SUITE C",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722170",
            "telephone_number": "863-385-1900",
            "fax_number": "863-385-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 SUN N LAKE BLVD",
            "address_2": "SUITE C",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722170",
            "telephone_number": "863-385-1900",
            "fax_number": "863-385-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PHYSICIANS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "STILTZ",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-200-2700"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA2516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.