Organization
ENDO SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ISABEL ORTIZ MD (PRESIDENT)
(305) 856-1002
Entity
Organization
Contact information
Practice address
3181 CORAL WAY STE 301, CORAL GABLES, FL 33145-3249
(305) 856-1002
Mailing address
19537 SW 79TH CT, CUTLER BAY, FL 33157-7497
(305) 856-1002
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/23/2019
Last updated
01/23/2019
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