Organization
SURGICAL INNOVATIONS OF MIAMI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LESLIE MOSQUERA (MANAGER)
(305) 279-0159
Entity
Organization
Contact information
Practice address
8900 SW 117TH AVE, SUITE B104, MIAMI, FL 33186-2175
(305) 279-0159
(786) 263-0179
Mailing address
8900 SW 117TH AVE, SUITE B104, MIAMI, FL 33186-2175
(305) 279-0159
(786) 263-0179
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101874
FL
Other
Enumeration date
09/17/2010
Last updated
11/01/2010
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