Organization
EMERGENCY NEUROSURGICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHAYA M.D. (PRESIDENT)
(305) 325-4873
Entity
Organization
Contact information
Practice address
201 BIRD RD, CORAL GABLES, FL 33146-1402
(305) 325-4873
Mailing address
201 BIRD RD, CORAL GABLES, FL 33146-1402
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME92901
FL
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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