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

South Florida Surgical Associates, LLC

Organization Surgery Physician · NPI 1417604018

South Florida Surgical Associates, LLC is a Surgery Physician in Fort Myers, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

5611 Solera Ct
Fort Myers, FL 33919-3432
Phone: (941) 882-0805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1417604018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Bloomston — Physician/Owner · (239) 339-7356
NPI enumeratedMarch 4, 2022
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address5611 Solera Ct, Fort Myers, FL 33919-3432

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