Provider Demographics
NPI:1386821817
Name:MIAMI SURGERY CENTER LLC
Entity Type:Organization
Organization Name:MIAMI SURGERY CENTER LLC
Other - Org Name:SURGERY CENTER AT DORAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-341-7280
Mailing Address - Street 1:3650 NW 82ND AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6658
Mailing Address - Country:US
Mailing Address - Phone:305-341-7280
Mailing Address - Fax:305-341-7290
Practice Address - Street 1:3650 NW 82ND AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6658
Practice Address - Country:US
Practice Address - Phone:305-341-7280
Practice Address - Fax:305-341-7290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical