Active NPI
Physician Surgical Network Inc.
- Rheumatology Physician
- Orlando, FL
National Provider Identifier
1649912478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- PHYSICIAN SURGICAL NETWORK INC.
- Practice address
- 7350 Sandlake Commons Blvd Ste 1130
Orlando, FL 32819-8039 - Phone
- (407) 870-1579
- Fax
- (407) 870-2353
- NPI assigned
- Apr 12, 2022
- Organization subpart
- Yes
- Parent organization
- PHYSICIAN SURGICAL NETWORK INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Gitman
- Title
- Ceo
- Phone
- (954) 248-3422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
7350 Sandlake Commons Blvd Ste 1130
Orlando, FL 32819-8039
Mailing address
831 Coral Ridge Dr
Coral Springs, FL 33071-4180
Phone (954) 248-3422
Other names 1
- Central Florida Arthritis and Osteoporosis Center
National Provider Directory
National Provider Directory- Part of
- Physicians Surgical Net
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Rheumatology Physician
- Kissimmee, FL
- NPI 1568642619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649721600000",
"number": "1649912478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 CORAL RIDGE DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330714180",
"telephone_number": "954-248-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 SANDLAKE COMMONS BLVD STE 1130",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198039",
"telephone_number": "407-870-1579",
"fax_number": "407-870-2353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN SURGICAL NETWORK INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHYSICIAN SURGICAL NETWORK INC",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A",
"authorized_official_last_name": "GITMAN",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-248-3422"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Florida Arthritis and Osteoporosis Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orlando, FL
- Physician Management Services of Florida LLC
- Physician Next Door, LLC
- Physician Next Door, LLC
- Physician Services Ipa LLC
- Physician Services of Florida LLC
- Physicians Alliance for Health, PLC
- Physicians Back & Neck Center Orlando Inc
- Physicians Care Centers of Orlando LLC
- Physicians Care, LLC
- Physicians Collaborative Affiliates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.