Central Florida Surgical Suites LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTRAL FLORIDA SURGICAL SUITES LLC

Practice address

410 Lionel Way Ste 100
Davenport, FL 33837-7809

Phone

(954) 906-9536

Fax

(954) 302-8736

NPI assigned

May 17, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Allen Licht

Title

Managing Director

Phone

(954) 906-9536

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1992442354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 NW 39TH ST STE 200",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652418",
            "telephone_number": "954-906-9536",
            "fax_number": "954-302-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LIONEL WAY STE 100",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377809",
            "telephone_number": "954-906-9536",
            "fax_number": "954-302-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA SURGICAL SUITES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "LICHT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "954-906-9536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "legal@athena-medical.net",
            "affiliation": "N",
            "address_1": "12350 NW 39th St Ste 200",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330652418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Central Florida Health Care, Inc.
• Central Florida Health Care, Inc.
• Central Florida Imaging Associates
• Central Florida Otolaryngology PLLC
• Central Florida Rheumatology Care
• Leonela Del Pilar Chacon
• Dailyn Chamorro
• Navin R Changoor
• Aaron Matthew Chanicka
• Olivia Louise Chanicka, RBT

• Ambulatory Surgical Clinic/Center in Davenport, FL
• Providers in Davenport, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.