Provider Demographics
NPI:1245272509
Name:SOUTHERN SURGICAL APMC INC
Entity type:Organization
Organization Name:SOUTHERN SURGICAL APMC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:615-445-3724
Mailing Address - Street 1:397 WALLACE RD
Mailing Address - Street 2:SUITE C302
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4854
Mailing Address - Country:US
Mailing Address - Phone:615-445-3724
Mailing Address - Fax:615-445-3011
Practice Address - Street 1:397 WALLACE RD
Practice Address - Street 2:SUITE C302
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4854
Practice Address - Country:US
Practice Address - Phone:615-445-3724
Practice Address - Fax:615-445-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35738208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty