Organization
SURG MED ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL VILA P.A. (PRESIDENT)
(305) 586-0717
Entity
Organization
Contact information
Practice address
8102 NW 158TH TER, MIAMI LAKES, FL 33016-7119
(305) 586-0717
(305) 819-9714
Mailing address
8102 NW 158TH TER, MIAMI LAKES, FL 33016-7119
(305) 558-2787
(305) 819-9714
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/07/2006
Last updated
08/22/2020
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