Organization
DORAL SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXIMO R TIRADOR SAC (PRESIDENT)
(305) 905-7628
Entity
Organization
Contact information
Practice address
6440 NW 114TH AVE UNIT 405, DORAL, FL 33178-4572
(305) 905-7628
(786) 431-1078
Mailing address
6440 NW 114TH AVE UNIT 405, DORAL, FL 33178-4572
(305) 905-7628
(786) 431-1078
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
06/17/2008
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