Organization
SURGICAL GROUP OF MIAMI LLC
Active
Other names
Miami Vascular Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLEE LEBLEU (VICE PRESIDENT)
(480) 321-7026
Entity
Organization
Contact information
Practice address
8950 N KENDALL DR, SUITE 504W, MIAMI, FL 33176-2144
(305) 324-4840
(305) 545-9562
Mailing address
PO BOX 201047, DALLAS, TX 75320-1047
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
AS4136633
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00216
BLUE SHIELD
FL
05
—
060796-700
—
FL
Enumeration date
05/31/2005
Last updated
07/12/2024
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