Organization Active NPI

Physician Surgical Network Inc.

  • Rheumatology Physician
  • Orlando, FL
National Provider Identifier
1649912478
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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.

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

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.

Verify at the official NPI Registry.