Healthcare Provider Details

I. General information

NPI: 1598960155
Provider Name (Legal Business Name): VSI AMBULATORY SURGICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7887 N KENDALL DR SUITE 210
MIAMI FL
33156-7524
US

IV. Provider business mailing address

7887 N KENDALL DR SUITE 210
MIAMI FL
33156-7524
US

V. Phone/Fax

Practice location:
  • Phone: 305-598-1555
  • Fax:
Mailing address:
  • Phone: 305-598-1555
  • 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: MR. GARY L TIE-SHUE
Title or Position: PRESIDENT
Credential:
Phone: 305-598-1555