Surgical Group of Winter Park LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS0003899 Issued in FL

Legal business name

SURGICAL GROUP OF WINTER PARK LLC

Practice address

2828 Casa Aloma Way
Suite 100
Winter Park, FL 32792-2223

Phone

(407) 673-9992

Fax

(407) 673-9902

NPI assigned

May 25, 2010

Last updated

Aug 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Robinson Bennett, D.ONPI 1801820329

Title

President

Phone

(407) 673-9992

Specialties & licenses 3

Addresses

Practitioners 1

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.

• Joseph Robinson Bennett, D.O.

  • Surgery Physician
  • Winter Park, FL
  • NPI 1801820329
  Authorized official Same address or phone

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1871812289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 OSCEOLA CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894431",
            "telephone_number": "407-673-9992",
            "fax_number": "407-673-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 CASA ALOMA WAY",
            "address_2": "SUITE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922223",
            "telephone_number": "407-673-9992",
            "fax_number": "407-673-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL GROUP OF WINTER PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROBINSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-673-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS0003899",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "OS0003899",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "OS0003899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun State Prosthetics Inc.
• Chenzhe Sun
• Surgan Medical Management
• Surgical Associates of Central Florida PA (Surgical Associates)
• Surgical Center Associates LTD (Winter Park Ambulatory Surgical Center)
• Anne-Christine Surin, BSW
• Susan Weissmann, LLC
• Anne Elisabeth Moore Sutherland, LMHC
• Lyndsey Kelley Sutherland, FNP-BC
• Svetlana a Cascio MD PA (OB GYN Care Group)

• Surgery Physician in Winter Park, FL
• Providers in Winter Park, 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 22, 2013; 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.