# JHS SURGICAL PAVILLION LLC

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

## Provider details

- **NPI number:** 1720619927
- **Authorized official:** STEVEN RUEDA MD (OWNER/ AUTHORIZED OFFICIAL)
- **Authorized official phone:** (305) 972-5299

## Contact information

- **Practice address:** 3319 S STATE ROAD 7 STE 107, WELLINGTON, FL 33449-8099
- **Practice address phone:** (561) 767-8318
- **Practice address fax:** (561) 810-1665
- **Mailing address:** 3319 S STATE ROAD 7 STE 107, WELLINGTON, FL 33449-8099
- **Mailing address phone:** (561) 767-8318
- **Mailing address fax:** (561) 810-1665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | NULL | Yes |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | — | Yes |
| 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