Healthcare Provider Details

I. General information

NPI: 1598071102
Provider Name (Legal Business Name): ART & SCIENCE SURGI CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2010
Last Update Date: 08/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 SW 36TH CT
MIAMI FL
33135-1040
US

IV. Provider business mailing address

35 SW 36TH CT
MIAMI FL
33135-1040
US

V. Phone/Fax

Practice location:
  • Phone: 305-220-0300
  • Fax: 305-220-1472
Mailing address:
  • Phone: 305-220-0300
  • Fax: 305-220-1472

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: DR. FERNANDO LORA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-220-0300