Organization
PSHS BETA PARTNERS LTD
Active
Other names
The Gables Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
401 S. LEJEUNE RD., SUITE 201, MIAMI, FL 33134-1938
(305) 447-0882
(305) 447-0213
Mailing address
401 SW 42ND AVE STE 201, MIAMI, FL 33134
(305) 447-0882
(305) 447-0213
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170338100
US DEPT OF LABOR
FL
01
—
68B
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/29/2005
Last updated
08/20/2025
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