Provider Demographics
NPI:1235230244
Name:HEALTHCARE SURGICAL SERVICES, INC.
Entity Type:Organization
Organization Name:HEALTHCARE SURGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAHOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-824-1107
Mailing Address - Street 1:15175 EAGLE NEST LN
Mailing Address - Street 2:SUITE 108
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2244
Mailing Address - Country:US
Mailing Address - Phone:305-824-1107
Mailing Address - Fax:305-558-0570
Practice Address - Street 1:15175 EAGLE NEST LN
Practice Address - Street 2:SUITE 108
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2244
Practice Address - Country:US
Practice Address - Phone:305-824-1107
Practice Address - Fax:305-558-0570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL163WM0705X, 208600000X, 246ZS0410X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Single Specialty
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Not Answered246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty
Not Answered363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL34768Medicare ID - Type Unspecified
FL34768AMedicare ID - Type Unspecified