Organization
PROFESSIONAL SURGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASSER DABIEN PA (PRESIDENT)
(786) 390-4789
Entity
Organization
Contact information
Practice address
8814 NW 180TH TER, HIALEAH, FL 33018-6503
(786) 390-4789
Mailing address
8814 NW 180TH TER, HIALEAH, FL 33018-6503
(786) 390-4789
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291175200
—
FL
Enumeration date
08/27/2007
Last updated
12/22/2011
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