Healthcare Provider Details

I. General information

NPI: 1932572658
Provider Name (Legal Business Name): SURGICAL ASSOCIATES OF SOUTH FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7330 SW 62ND PL STE 210
SOUTH MIAMI FL
33143-4825
US

IV. Provider business mailing address

7330 SW 62ND PL STE 210
SOUTH MIAMI FL
33143-4825
US

V. Phone/Fax

Practice location:
  • Phone: 786-701-3295
  • Fax: 305-851-0419
Mailing address:
  • Phone: 786-701-3295
  • Fax: 305-851-0419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. REZA KESHAVARZI
Title or Position: SURGEON
Credential: MD, FACS, FASMBS
Phone: 786-701-3295