Organization
BAYSIDE AMBULATORY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
3641 S MIAMI AVE, MIAMI, FL 33133-4205
(305) 854-3636
(305) 854-3646
Mailing address
3641 S MIAMI AVE, MIAMI, FL 33133-4205
(305) 854-3636
(305) 854-3646
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Enumeration date
07/18/2006
Last updated
02/16/2018
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