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Organization
PSHS BETA PARTNERS LTD
Active
Organization
PSHS BETA PARTNERS LTD
Active
Other names
The Gables Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
401 S. LEJEUNE RD., SUITE 201, MIAMI, FL 33134-1938
(305) 447-0882
(305) 447-0213
Mailing address
401 SW 42ND AVE STE 201, MIAMI, FL 33134
(305) 447-0882
(305) 447-0213
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170338100
US DEPT OF LABOR
FL
01
—
68B
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/29/2005
Last updated
08/20/2025
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