# ASSOCIATE SURGEON NETWORK LLC

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

## Provider details

- **NPI number:** 1861452310
- **Authorized official:** MARTHA C ORTIZ (SENIOR VP OF REVENUE CYCLE)
- **Authorized official phone:** (954) 874-4600

## Contact information

- **Practice address:** 1150 CAMPO SANO AVE, SUITE, CORAL GABLES, FL 33146-1174
- **Practice address phone:** (305) 669-3320
- **Practice address fax:** (305) 669-3324
- **Mailing address:** 2901 SW 149TH AVE, SUITE 400, MIRAMAR, FL 33027-4153
- **Mailing address phone:** (954) 874-4600
- **Mailing address fax:** (786) 594-5200

## Taxonomy

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

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 02/04/2013