Organization
ADVANCED PROFESSIONAL SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GAMONEDA SAC (PRESIDENT)
(786) 326-0576
Entity
Organization
Contact information
Practice address
905 NW 97TH AVE APT 308, MIAMI, FL 33172-2358
(786) 326-0576
(305) 222-9155
Mailing address
905 NW 97TH AVE APT 308, MIAMI, FL 33172-2358
(786) 326-0576
(305) 222-9155
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
04-178
FL
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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