Organization
MILLENNIUM SURGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE EHANDRY RIVERO JR. (SURGICAL ASSISTANT)
(561) 531-7914
Entity
Organization
Contact information
Practice address
755 BELLE GROVE LN, ROYAL PALM BEACH, FL 33411
(561) 531-7914
Mailing address
755 BELLE GROVE LN, ROYAL PALM BEACH, FL 33411
(561) 531-7914
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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