# SURGICAL GROUP OF MIAMI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miami Vascular Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174278717
- **Authorized official:** SHARLEE LEBLEU (VICE PRESIDENT)
- **Authorized official phone:** (480) 321-7026

## Contact information

- **Practice address:** 6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
- **Practice address phone:** (786) 662-4000
- **Practice address fax:** (305) 545-9562
- **Mailing address:** PO BOX 201047, DALLAS, TX 75320-1047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2022
- **Last updated:** 07/12/2024