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Organization
CCRM FLORIDA SURGERY LLC
Active
Organization
CCRM FLORIDA SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT TYSON (DIRECTOR, MANAGED CARE CONTRACTING)
(615) 477-6677
Entity
Organization
Contact information
Practice address
19505 BISCAYNE BLVD STE 2230, MIAMI, FL 33180-3644
(305) 526-4530
(833) 983-0045
Mailing address
19505 BISCAYNE BLVD STE 2230, MIAMI, FL 33180-3644
(305) 526-4530
(305) 985-5815
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
05/18/2026
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