Bayside Ambulatory Center, LLC
Clinic/Center, Ambulatory Surgical in Miami, FL. Organization (NPI-2).
NPI number1023036688
StatusActive
Last updated in NPPESSep 8, 2026
Details
- NPI
- 1023036688
- Entity type
- Organization (NPI-2)
- Legal business name
- Bayside Ambulatory Center, LLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2006
- Certification date
- Sep 8, 2026
- Last updated
- Sep 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | FL | Yes |
Practice location
3641 S Miami AveMiami, FL 33133-4205
Phone 305-854-3636 · Fax 305-854-3646
Mailing address
3641 S Miami AveMiami, FL 33133-4204
Phone 305-854-3636 · Fax 305-854-3646
Authorized official
David McKnight
Vp/Cfo
9727892816
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