# SURGICAL INNOVATIONS OF MIAMI INC

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

## Provider details

- **NPI number:** 1780992362
- **Authorized official:** MISS LESLIE MOSQUERA (MANAGER)
- **Authorized official phone:** (305) 279-0159

## Contact information

- **Practice address:** 8900 SW 117TH AVE, SUITE B104, MIAMI, FL 33186-2175
- **Practice address phone:** (305) 279-0159
- **Practice address fax:** (786) 263-0179
- **Mailing address:** 8900 SW 117TH AVE, SUITE B104, MIAMI, FL 33186-2175
- **Mailing address phone:** (305) 279-0159
- **Mailing address fax:** (786) 263-0179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA9101874 | FL | Yes |

## Other

- **Enumeration date:** 09/17/2010
- **Last updated:** 11/01/2010