Organization
INTERACTIVE MED-UNLIM SURG ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL A ORTIZ-DIAZ PAC (PRESIDENT)
(954) 990-3515
Entity
Organization
Contact information
Practice address
49 N FEDERAL HWY, SUITE 361, POMPANO BEACH, FL 33062-4304
(954) 990-3515
Mailing address
49 N FEDERAL HWY, SUITE 361, POMPANO BEACH, FL 33062-4304
(954) 990-3515
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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