MEDICARE: WESTCHESTER SURGICAL CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	ME92214	FL

General Provider Information

NPI Number	:	1447298658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTCHESTER SURGICAL CENTER, INC

Provider Business Mailing Address
First Line	:	13985 SW 20TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-7002
Country	:	US
Telephone Number	:	305-244-2546
Fax Number	:

Provider Business Practice Location Address
First Line	:	8364 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4180
Country	:	US
Telephone Number	:	305-262-3262
Fax Number	:	305-262-3242

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ISMAEL LABRADOR
Credential	:	MD
Telephone Number	:	305-262-3260

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	08/22/2020

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