| Surgical Associates Of South Florida Llc | |
|
7330 Sw 62nd Pl Ste 210 South Miami FL 33143-4825 | |
| (786) 801-3883 | |
| (305) 851-0419 |
| Full Name | Surgical Associates Of South Florida Llc |
|---|---|
| Speciality | Surgery |
| Location | 7330 Sw 62nd Pl Ste 210, South Miami, Florida |
| Authorized Official Name and Position | Reza Keshavarzi (OWNER) |
| Authorized Official Contact | 7868013883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgical Associates Of South Florida Llc 7330 Sw 62nd Pl Ste 210 South Miami FL 33143-4825 Ph: (786) 801-3883 | Surgical Associates Of South Florida Llc 7330 Sw 62nd Pl Ste 210 South Miami FL 33143-4825 Ph: (786) 801-3883 |
| NPI Number | 1932572658 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 07/19/2019 |
| Medicare PECOS PAC ID | 4183922552 |
|---|---|
| Medicare Enrollment ID | O20160419000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932572658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| Provider Name | Rose C Huber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336370501 PECOS PAC ID: 0446393789 Enrollment ID: I20100208000795 |
| Provider Name | Reza Keshavarzi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215188925 PECOS PAC ID: 5193982478 Enrollment ID: I20120130000697 |
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