Brueck, Golosow, Kim & Associates
NPI 1548452378ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Fort Myers, FL
Surgery, Plastic and Reconstructive Surgery in Fort Myers, Florida, registered in NPPES in August 2007. The authorized official on file is Susan M. Hanzevack, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548452378 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2007 |
| Last updated in NPPES | May 16, 2025 |
| Certified by provider | May 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | ME33768 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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