Surgical Consulting Group PA

NPI #1114410214 in Fort Myers, Florida

Provider Information

NPI Number: 1114410214
Entity Type: Organization
Organization Name: Surgical Consulting Group PA
Primary Specialty: Surgery
Enumeration Date: Jun 13, 2018
Last Updated: Jul 15, 2021

Practice Location

Address: 3050 CHAMPION RING RD
City: Fort Myers
State: Florida
ZIP Code: 33905-5599
Phone: (941) 621-6577

Authorized Official

Name: DR. DAVID T RIDEOUT, MD
Title: PRESIDENT
Phone: (207) 240-3362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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