Organization
ADVANCED SURGERY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COSME Y MANZARBEITIA MD (MANAGING MEMBER)
(484) 716-9519
Entity
Organization
Contact information
Practice address
9282 NW 63RD CT, PARKLAND, FL 33067-3758
(484) 716-9519
Mailing address
9922 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 464-6040
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD055579L
PA
Other
Enumeration date
02/03/2010
Last updated
10/09/2023
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