Organization Active NPI

South Florida Premier Surgery LLC

Doing business as South Florida Premier Medicine

  • Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1912765835
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SOUTH FLORIDA PREMIER SURGERY LLC
Doing business as
South Florida Premier Medicine
Practice address
4801 Linton Blvd Ste 10a
Delray Beach, FL 33445-6501
Phone
(305) 761-7610
NPI assigned
Mar 6, 2024
Last updated
May 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Joshua Simon, DONPI 1356766554
Title
Co Owner
Phone
(352) 215-3989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4801 Linton Blvd Ste 10a
Delray Beach, FL 33445-6501

Mailing address

PO Box 7415
Delray Beach, FL 33482-7415

Other names 1

  • South Florida Premier Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240701000850 FL Part B Supplier - Clinic/Group Practice 7517401615 Receives reassigned benefits from 8 practitioners
Practice locations: Delray Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2338769South Florida Premier Surgery LLC4801 Linton Blvd Suite 10a, Delray Beach, FL 33445Certificate of waiverFeb 17, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1912765835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7415",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334827415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 LINTON BLVD STE 10A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456501",
            "telephone_number": "305-761-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PREMIER SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "352-215-3989",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida Premier Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.