Provider Demographics
NPI:1376578393
Name:INVIGA SURGERY & HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:INVIGA SURGERY & HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:NOBBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-821-5119
Mailing Address - Street 1:619 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-3609
Mailing Address - Country:US
Mailing Address - Phone:305-821-5119
Mailing Address - Fax:305-227-1684
Practice Address - Street 1:619 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-3609
Practice Address - Country:US
Practice Address - Phone:305-821-5119
Practice Address - Fax:305-227-1684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1013261QA1903X
FL1063261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL07-904-2700Medicaid
FLF-1056Medicare UPIN