Organization
THE PALMETTO ASC, LLC
Active
Other names
The Palmetto Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JANE JARAMILLO (OFFICE MANAGER)
(305) 512-8220
Entity
Organization
Contact information
Practice address
2140 W 68TH ST, SUITE 102, HIALEAH, FL 33016-1815
(305) 512-8220
(305) 512-4945
Mailing address
2140 W 68TH ST, SUITE 102, HIALEAH, FL 33016-1815
(305) 512-8220
(305) 512-4945
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109945200
—
FL
Enumeration date
02/02/2006
Last updated
01/08/2025
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