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Aventura Surgical Group

Specialist in Aventura, FL. Organization (NPI-2).

NPI number1861697096
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1861697096
Entity type
Organization (NPI-2)
Legal business name
Aventura Surgical Group
Organization subpart
No
Enumeration date
Jun 18, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistOS0003845FLYes

Practice location

21110 Biscayne Blvd Ste 400
Aventura, FL 33180-1252

Phone 305-933-8622 · Fax 305-682-8430

Mailing address

21110 Biscayne Blvd Ste 400
Aventura, FL 33180-1252

Phone 305-933-8622 · Fax 305-682-8430

Authorized official

Shannon Michelle Smith
Office Manager
3059338622

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