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 provides Surgery Physician services 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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