Florida Surgical Group, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

FLORIDA SURGICAL GROUP, P.A.

Practice address

661 E Altamonte Dr
Suite 323
Altamonte Springs, FL 32701-5105

Phone

(407) 834-6965

Fax

(407) 834-0424

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery Ray Cryar, M.D.NPI 1215927744

Title

President

Phone

(407) 834-6965

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 6

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.

• Jeffery Ray Cryar, M.D.

  • Surgery Physician
  • Altamonte Springs, FL
  • NPI 1215927744
  Medicare reassignment NPD Authorized official
• Christopher J Kondor, PA C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1457345449
  NPD (past)
• Leslie Lauren Mackey, PA-C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1619928355
  NPD (past)
• William Martin Malone, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1821040619
  NPD (past)
• Herly Anthony Ramos, PA-C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1285688580
  NPD (past)
• Ivan R Rosado, MD

  • Surgery Physician
  • Attamonte Springs, FL
  • NPI 1831164714
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1710977251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 323",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-834-6965",
            "fax_number": "407-834-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 323",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-834-6965",
            "fax_number": "407-834-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SURGICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "CRYAR",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-834-6965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370052600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Ortho Care Network, LLC
• Florida Premier Home Healthcare LLC
• Florida Radiology Associates PA
• Florida Radiology Imaging at Lake Mary, LLC (AdventHealth Imaging Altamonte)
• Florida Raidology Associates PA
• Florida Urgent Care Centers, LLC.
• Florida Woman Care, LLC
• Florida Woman Care, LLC
• Florida Woman Care, LLC
• Florida Woman Care,LLC

• Surgery Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.