South Florida Surgical Associates, LLC

NPI #1417604018 in Fort Myers, Florida

Provider Information

NPI Number: 1417604018
Entity Type: Organization
Organization Name: South Florida Surgical Associates, LLC
Primary Specialty: Surgery
Enumeration Date: Mar 4, 2022
Last Updated: Jan 21, 2025

Practice Location

Address: 5611 SOLERA CT
City: Fort Myers
State: Florida
ZIP Code: 33919-3432
Phone: (941) 882-0805

Authorized Official

Name: DR. PAUL MARK BLOOMSTON, MD
Title: PHYSICIAN/OWNER
Phone: (239) 339-7356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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