Healthcare Provider Details

I. General information

NPI: 1912831181
Provider Name (Legal Business Name): PRECISION UROLOGY SURGERY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 W 68TH ST STE 204
HIALEAH FL
33016-1815
US

IV. Provider business mailing address

2140 W 68TH ST STE 204
HIALEAH FL
33016-1815
US

V. Phone/Fax

Practice location:
  • Phone: 305-454-5000
  • Fax:
Mailing address:
  • Phone: 305-454-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EDWARD GHEILER
Title or Position: CO-PRESIDENT
Credential: MD
Phone: 305-454-5000