Healthcare Provider Details

I. General information

NPI: 1326955089
Provider Name (Legal Business Name): INSTITUTE FOR THORACIC SURGERY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8740 SW 88TH ST STE 218
MIAMI FL
33176-2221
US

IV. Provider business mailing address

12575 SW 60TH CT
PINECREST FL
33156-5607
US

V. Phone/Fax

Practice location:
  • Phone: 305-389-6726
  • Fax:
Mailing address:
  • Phone: 305-389-6726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK RICHARD DYLEWSKI
Title or Position: OWNER/PHYSICIAN
Credential:
Phone: 786-389-6276