# PREMIUM SURGICAL SERVICES, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205937117
- **Authorized official:** MRS. MERCEDES AGUIRRE-TUDELA (PRESIDENT)
- **Authorized official phone:** (305) 559-2779

## Contact information

- **Practice address:** 11760 SW 40TH ST, SUITE 729, MIAMI, FL 33175-3582
- **Practice address phone:** (305) 559-2779
- **Practice address fax:** (305) 559-6119
- **Mailing address:** 11760 SW 40TH ST, SUITE 729, MIAMI, FL 33175-3582
- **Mailing address phone:** (305) 559-2779
- **Mailing address fax:** (305) 559-6119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | FL | Yes |
| 246ZS0410X | Surgical Technologist | — | FL | — |
| 363AS0400X | Surgical Physician Assistant | — | FL | — |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 03/03/2008