SURG MED OF NORTHSHORE NPI 1316006117

NPI Information

NPI: 1316006117
Provider Name: SURG MED OF NORTHSHORE
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
8102 NW 158TH TER
MIAMI LAKES, FL
ZIP 33016
Phone: (305) 586-0717
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SURG MED OF NORTHSHORE is a surgical physician assistant in Miami Lakes, FL. SURG MED OF NORTHSHORE NPI is 1316006117. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8102 NW 158TH TER
MIAMI LAKES, FL
ZIP 33016-119
Phone: (305) 586-0717
Fax: (305) 819-9714

The provider's authorized official is Manuel Vila .
The authorized official title is President and has the following contact phone number (305) 586-0717.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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