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Organization

MIAMI BEACH SURGICAL ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRVIN H WILLIS MD (MANAGING PARTNER)
(305) 673-2405
Entity
Organization

Contact information

Practice address
4302 ALTON RD, SUITE 630, MIAMI BEACH, FL 33140-2891
(305) 673-2405
(954) 964-6084
Mailing address
PO BOX 816759, HOLLYWOOD, FL 33081-0759
(305) 674-1233
(954) 964-6084

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
06/09/2010
Last updated
06/09/2010
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