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Organization
SURGICLEAR
Active
Organization
SURGICLEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA HOENSTINE (ADMINISTRATOR)
(954) 347-6771
Entity
Organization
Contact information
Practice address
1011 IVES DAIRY RD STE 107, MIAMI, FL 33179-2536
(954) 347-6771
(954) 347-6774
Mailing address
1011 IVES DAIRY RD STE 107, MIAMI, FL 33179-2536
(954) 347-6771
(954) 347-6774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011
SELF PAY
FL
Enumeration date
06/28/2019
Last updated
06/28/2019
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