# SURGICAL DEVICEEXCHANGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sierra Surgical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659695377
- **Authorized official:** TRAVIS GREENHALGH (PRESIDENT)
- **Authorized official phone:** (916) 759-7999

## Contact information

- **Practice address:** 1850 S OCEAN DR APT 1910, HALLANDALE BEACH, FL 33009-7681
- **Practice address phone:** (916) 759-7999
- **Mailing address:** 1850 S. OCEAN DR. \#1910, HALLANDALE, FL 33009
- **Mailing address phone:** (916) 759-7999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2010
- **Last updated:** 03/24/2010
