Organization
PROFESSIONAL SURGICAL ASSISTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL P LETOURNEAUT P.A. (PRESIDENT)
(305) 968-1829
Entity
Organization
Contact information
Practice address
7770 HAWTHORNE AVE, MIAMI BEACH, FL 33141-1038
(305) 968-1829
(305) 866-2486
Mailing address
7770 HAWTHORNE AVE, MIAMI BEACH, FL 33141-1038
(305) 968-1829
(305) 866-2486
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
FL
363AS0400X
Surgical Physician Assistant
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291871400
—
FL
Enumeration date
10/11/2006
Last updated
06/05/2009
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