Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Australian Prowfish Surgical Specialists LLC

Organization Surgery Physician · NPI 1487052528

Australian Prowfish Surgical Specialists LLC is a Surgery Physician in Sanford, Florida. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 W Seminole Blvd
Sanford, FL 32771-6743
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Trauma Surgery Physician Taxonomy 2086S0127X

Record details

NPI number1487052528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (317) 614-9871
NPI enumeratedDecember 5, 2014
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address5565 Centerview Dr Ste 107, Raleigh, NC 27606-3563

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