Organization
UNIVERSITY OF MIAMI
Active
Other names
UMiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - ASC)
Organization subpart
No
Provider details
NPI number
Authorized official
CESIA A SANCHEZ (PROVIDER ENROLLMENT MANAGER)
(305) 243-6837
Entity
Organization
Contact information
Practice address
7103 FAIRWAY DR, PALM BEACH GARDENS, FL 33418-3701
(561) 515-1500
(305) 243-8470
Mailing address
7103 FAIRWAY DR, PALM BEACH GARDENS, FL 33418-3701
(561) 515-1500
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
200706483
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0766534-00
—
FL
Enumeration date
11/29/2006
Last updated
12/31/2019
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