Organization Active NPI

South Florida Surgical Specialists LLC

  • Surgery Physician
  • Coral Springs, FL
National Provider Identifier
1952409963
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SOUTH FLORIDA SURGICAL SPECIALISTS LLC
Practice address
3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172
Phone
(954) 755-0111
Fax
(954) 755-2209
NPI assigned
Sep 21, 2006
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Mr. Justin C Gularek, MBA
Title
Executive Director
Phone
(954) 755-0111

Specialties & licenses 1

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

Addresses

Primary practice location

3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172

Mailing address

3001 Coral Hills Dr
Suite 320
Coral Springs, FL 33065-4172
Phone (954) 755-0111

Other identifiers 10

IdentifierTypeStateIssuer
00643OtherFLBLUE CROSS BLUE SHIELD
278013502MedicaidFL
278013507MedicaidFL
278013500MedicaidFL
278013503MedicaidFL
278013504MedicaidFL
278013505MedicaidFL
278013506MedicaidFL
278013501MedicaidFL
DH1405OtherFLMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070509000683 FL Part B Supplier - Clinic/Group Practice 5799881660 Receives reassigned benefits from 117 practitioners

National Provider Directory

National Provider Directory

Locations (25 of 36)

21020 State Road 7
Ste 220
Boca Raton, FL 33428
Phone (561) 483-4300

1301 N Congress Ave
Ste 310
Boynton Beach, FL 33426
Phone (561) 450-5598

2623 S Seacrest Blvd
Ste 20
Boynton Beach, FL 33435
Phone (561) 374-7911

9868 S State Road 7
Ste 300
Boynton Beach, FL 33472
Phone (561) 272-1234

4515 Wiles Rd
Ste 201A
Coconut Creek, FL 33073

4851 W Hillsboro Blvd
Ste A8
Coconut Creek, FL 33073
Phone (561) 703-1383

3001 Coral Hills Dr
Coral Springs, FL 33065
Phone (954) 341-2916

3100 Coral Hills Dr
Ste 308
Coral Springs, FL 33065
Phone (954) 227-1234

5511 N University Dr
Coral Springs, FL 33067
Phone (954) 369-4198

1 W Sample Rd
Ste 302
Deerfield Beach, FL 33064
Phone (954) 366-3332

2151 W Hillsboro Blvd
Ste 302
Deerfield Beach, FL 33442
Phone (954) 333-8838

601 E Sample Rd
Ste 105
Deerfield Beach, FL 33064
Phone (954) 344-2522

5258 Linton Blvd
Ste 305
Delray Beach, FL 33484
Phone (561) 496-4000

2000 NW 87th Ave
Ste 217
Doral, FL 33172
Phone (305) 396-8731

2838 E Oakland Park Blvd
Fort Lauderdale, FL 33306
Phone (954) 564-0040

1000 NW 56th St
Ft Lauderdale, FL 33309
Phone (954) 958-0606

1930 NE 47th St
Ste 100
Ft Lauderdale, FL 33308
Phone (954) 771-3303

5700 N Federal Hwy
Ste 1
Ft Lauderdale, FL 33308
Phone (954) 491-6400

6405 N Federal Hwy
Ste 100
Ft Lauderdale, FL 33308
Phone (954) 491-6300

6405 N Federal Hwy
Ste 404
Ft Lauderdale, FL 33308
Phone (954) 940-7015

2825 N State Road 7
Ste 205
Margate, FL 33063
Phone (954) 719-0717

2825 N State Road 7
Ste 300
Margate, FL 33063
Phone (954) 748-4771

2960 N State Road 7
Margate, FL 33063
Phone (305) 243-4562

2960 N State Road 7
Ste 108
Margate, FL 33063
Phone (754) 307-9410

5901 Colonial Dr
Ste 320
Margate, FL 33063

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 126

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.

View all 126

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1952409963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 CORAL HILLS DR",
            "address_2": "SUITE 320",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654172",
            "telephone_number": "954-755-0111",
            "fax_number": "954-755-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 CORAL HILLS DR",
            "address_2": "SUITE 320",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654172",
            "telephone_number": "954-755-0111",
            "fax_number": "954-755-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA SURGICAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "GULAREK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-755-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00643",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278013502",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278013507",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278013500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278013503",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278013504",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278013505",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278013506",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278013501",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DH1405",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.