Organization Active NPI

Frostproof Medical and Surgical Center PA

  • Surgery Physician
  • Frostproof, FL
National Provider Identifier
1659674232
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0033487 Issued in FL
Legal business name
FROSTPROOF MEDICAL AND SURGICAL CENTER PA
Practice address
45 Devane St
Frostproof, FL 33843-2017
Phone
(813) 685-2191
Fax
(813) 689-8755
NPI assigned
Dec 21, 2010
Last updated
Dec 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Mrs. Peggy Vent
Title
Billing Representative
Phone
(813) 685-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME0033487 FL Primary

Addresses

Primary practice location

45 Devane St
Frostproof, FL 33843-2017

Mailing address

45 Devane St
Frostproof, FL 33843-2017
Phone (813) 685-2191

National Provider Directory

National Provider Directory

Locations

45 Devane St
Frostproof, FL 33843
Phone (863) 635-5050

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1659674232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DEVANE ST",
            "city": "FROSTPROOF",
            "state": "FL",
            "postal_code": "338432017",
            "telephone_number": "813-685-2191",
            "fax_number": "813-689-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DEVANE ST",
            "city": "FROSTPROOF",
            "state": "FL",
            "postal_code": "338432017",
            "telephone_number": "813-685-2191",
            "fax_number": "813-689-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROSTPROOF MEDICAL AND SURGICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "VENT",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "813-685-2191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0033487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostproof, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.