Organization
PREMIUM SURGICAL SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCEDES AGUIRRE-TUDELA (PRESIDENT)
(305) 559-2779
Entity
Organization
Contact information
Practice address
11760 SW 40TH ST, SUITE 729, MIAMI, FL 33175-3582
(305) 559-2779
(305) 559-6119
Mailing address
11760 SW 40TH ST, SUITE 729, MIAMI, FL 33175-3582
(305) 559-2779
(305) 559-6119
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
FL
246ZS0410X
Surgical Technologist
—
FL
363AS0400X
Surgical Physician Assistant
—
FL
Other
Enumeration date
09/25/2006
Last updated
03/03/2008
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