Healthcare Provider Details

I. General information

NPI: 1235230244
Provider Name (Legal Business Name): HEALTHCARE SURGICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15175 EAGLE NEST LN SUITE 108
MIAMI LAKES FL
33014-2244
US

IV. Provider business mailing address

15175 EAGLE NEST LN SUITE 108
MIAMI LAKES FL
33014-2244
US

V. Phone/Fax

Practice location:
  • Phone: 305-824-1107
  • Fax: 305-558-0570
Mailing address:
  • Phone: 305-824-1107
  • Fax: 305-558-0570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name: MRS. GRACE DELAHOZ
Title or Position: VICE-PRESIDENT
Credential:
Phone: 305-824-1107