Organization · NPI-2

Bay Surgical Group LLC

· Coral Gables, FL

NPI number1619404027
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1619404027
Entity type
Organization (NPI-2)
Legal business name
Bay Surgical Group LLC
Organization subpart
No
Enumeration date
May 16, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X ––Yes

Practice location

3181 Coral Way Ste 301
Coral Gables, FL 33145-3249

Phone 305-856-1002 · Fax 877-501-4190

Mailing address

3181 Coral Way Ste 301
Coral Gables, FL 33145-3249

Phone 305-856-1002 · Fax 877-501-4190

Authorized official

Juan Carlos Fleites
President
3058561002

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