Provider Demographics
NPI:1962957589
Name:FLORIDA SURGERY CONSULTANTS, LLC
Entity type:Organization
Organization Name:FLORIDA SURGERY CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-784-8600
Mailing Address - Street 1:35111 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1935
Mailing Address - Country:US
Mailing Address - Phone:727-784-8600
Mailing Address - Fax:
Practice Address - Street 1:35111 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 301
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1935
Practice Address - Country:US
Practice Address - Phone:727-784-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty