Healthcare Provider Details

I. General information

NPI: 1811832009
Provider Name (Legal Business Name): CHOUSLEB SURGICAL ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 NE 188TH ST
NORTH MIAMI BEACH FL
33179-4351
US

IV. Provider business mailing address

1970 NE 188TH ST
NORTH MIAMI BEACH FL
33179-4351
US

V. Phone/Fax

Practice location:
  • Phone: 646-641-8086
  • Fax:
Mailing address:
  • Phone: 646-641-8086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ELIAS CHOUSLEB
Title or Position: OWNER
Credential: MD
Phone: 646-641-8086