Provider Demographics
NPI:1003997578
Name:EXABLATE OF NORTH DADE COUNTY
Entity Type:Organization
Organization Name:EXABLATE OF NORTH DADE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CLIFF
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-820-7900
Mailing Address - Street 1:2 NORTHPOINT DR
Mailing Address - Street 2:SUITE 950
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3235
Mailing Address - Country:US
Mailing Address - Phone:281-820-7900
Mailing Address - Fax:281-820-7925
Practice Address - Street 1:3440 HOLLYWOOD BLVD
Practice Address - Street 2:VENTURE CORPORATE CENTER I, SUITE 110
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6927
Practice Address - Country:US
Practice Address - Phone:281-820-7900
Practice Address - Fax:281-820-7925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center