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Organization
AQUA VISTA SURGERY CENTER LLC
Active
Organization
AQUA VISTA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDHBH GALLAGHER MD (MEDICAL DIRECTOR)
(215) 206-6550
Entity
Organization
Contact information
Practice address
4770 BISCAYNE BLVD STE 1000, MIAMI, FL 33137-3232
(305) 204-9598
Mailing address
4770 BISCAYNE BLVD STE 1000, MIAMI, FL 33137-3232
(305) 204-9598
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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