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

Surgical Consulting Group PA

Organization Surgery Physician · NPI 1114410214

Surgical Consulting Group PA is a Surgery Physician in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3050 Champion Ring Rd
Fort Myers, FL 33905-5599
Phone: (941) 621-6577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME129811 (FL)

Record details

NPI number1114410214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Rideout — President · (207) 240-3362
NPI enumeratedJune 13, 2018
Last updated in NPPESJuly 15, 2021
Certification dateJuly 14, 2021
Mailing addressPo Box 511644, Punta Gorda, FL 33951-1644

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