Provider Demographics
NPI:1710420120
Name:AMERICAN ACCESS CARE OF MIAMI ASC LLC
Entity Type:Organization
Organization Name:AMERICAN ACCESS CARE OF MIAMI ASC LLC
Other - Org Name:AZURA SURGERY CENTER MIAMI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:E
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-644-8900
Mailing Address - Street 1:PO BOX 419580
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-9580
Mailing Address - Country:US
Mailing Address - Phone:610-644-8900
Mailing Address - Fax:
Practice Address - Street 1:9200 S DADELAND BLVD
Practice Address - Street 2:SUITE 101 - DADELAND TOWERS NORTH
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-2723
Practice Address - Country:US
Practice Address - Phone:305-670-1044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-02
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical