Organization
PRIME SURGICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD RODRIGUEZ (OWNER)
(786) 799-0268
Entity
Organization
Contact information
Practice address
18040 SW 107TH AVE UNIT 106, MIAMI, FL 33157-5298
(786) 799-0268
Mailing address
18040 SW 107TH AVE UNIT 106, MIAMI, FL 33157-5298
(786) 799-0268
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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