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1316006117
SURG MED OF NORTHSHORE
MIAMI LAKES, FL
NPI
1316006117
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Entity Type
Organization
Authorized Contact
MANUEL VILA
President
305-586-0717
Organization Subpart ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2006-12-07
Last Update Date
2020-08-22
Business Address
SURG MED OF NORTHSHORE
8102 NW 158TH TER
MIAMI LAKES, FL 33016-7119
Phone number: 305-586-0717
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Mailing Address
SURG MED OF NORTHSHORE
8102 NW 158TH TER
MIAMI LAKES, FL 33016-7119
Phone number: 305-558-2787
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