Organization
CCRM FLORIDA SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE JEAN RAVECH (CHIEF MANAGED CARE OFFICER)
(860) 305-6640
Entity
Organization
Contact information
Practice address
19505 BISCAYNE BLVD STE 2230, MIAMI, FL 33180-3644
(305) 526-4530
(833) 983-0045
Mailing address
9380 STATION ST STE 425, LONE TREE, CO 80124-6832
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
04/24/2025
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