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Organization
JHS SURGICAL PAVILLION LLC
Active
Organization
JHS SURGICAL PAVILLION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RUEDA MD (OWNER/ AUTHORIZED OFFICIAL)
(305) 972-5299
Entity
Organization
Contact information
Practice address
3319 S STATE ROAD 7 STE 107, WELLINGTON, FL 33449-8099
(561) 767-8318
(561) 810-1665
Mailing address
3319 S STATE ROAD 7 STE 107, WELLINGTON, FL 33449-8099
(561) 767-8318
(561) 810-1665
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
NULL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
NULL
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Enumeration date
01/28/2020
Last updated
02/12/2020
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