NPIMap

Organization Active NPI

Florida Surgery Consultants, LLC

  • Neurological Surgery Physician
  • Palm Harbor, FL
National Provider Identifier
1962957589
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
FLORIDA SURGERY CONSULTANTS, LLC
Practice address
35111 US Highway 19 N
Suite 301
Palm Harbor, FL 34684-1935
Phone
(727) 784-8600
NPI assigned
Aug 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Samuel F Nixon
Title
Ceo
Phone
(727) 784-8600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X Primary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X

Addresses

Primary practice location

35111 US Highway 19 N
Suite 301
Palm Harbor, FL 34684-1935

Mailing address

35111 US Highway 19 N
Suite 301
Palm Harbor, FL 34684-1935
Phone (727) 784-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170905003062 FL Part B Supplier - Clinic/Group Practice 7618240110 Receives reassigned benefits from 6 practitioners
Practice locations: Ocala, FL; Tampa, FL; Largo, FL; Gainesville, FL; Lakeland, FL; Bradenton, FL; Brooksville, FL

National Provider Directory

National Provider Directory

Locations

604 Robin Rd
Ste 1
Lakeland, FL 33803
Phone (727) 784-8600

6320 Venture Dr
Ste 201
Lakewood Ranch, FL 34202

1000 Belcher Rd S
#A6
Largo, FL 33771
Phone (727) 784-8600

311 SE 29th Pl
Ocala, FL 34471
Phone (352) 369-1411

1015 SE 17th St
Ste 200
Ocala, FL 34471
Phone (352) 245-7788

35111 US Highway 19 N
Ste 301
Palm Harbor, FL 34684
Phone (727) 784-8600

12202 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 592-7779

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1962957589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35111 US HIGHWAY 19 N",
            "address_2": "SUITE 301",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841935",
            "telephone_number": "727-784-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35111 US HIGHWAY 19 N",
            "address_2": "SUITE 301",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841935",
            "telephone_number": "727-784-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SURGERY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-784-8600"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.