Organization
AQUA VISTA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDHBH GALLAGHER MD (MEDICAL DIRECTOR)
(215) 206-6550
Entity
Organization
Contact information
Practice address
4770 BISCAYNE BLVD STE 1000, MIAMI, FL 33137-3232
(305) 204-9598
Mailing address
4770 BISCAYNE BLVD STE 1000, MIAMI, FL 33137-3232
(305) 204-9598
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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