Organization
BISCAYNE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ARENDT (MANAGER)
(954) 800-7350
Entity
Organization
Contact information
Practice address
5944 CORAL RIDGE DR # 170, CORAL SPRINGS, FL 33076-3300
(954) 800-7350
(954) 827-0852
Mailing address
5944 CORAL RIDGE DR # 170, CORAL SPRINGS, FL 33076-3300
(954) 800-7350
(954) 827-0852
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
L17000093163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L17000093163
L17000093163
FL
Enumeration date
05/01/2017
Last updated
05/01/2017
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