Surgical Group of Miami LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

AS4136633 Issued in FL

Legal business name

SURGICAL GROUP OF MIAMI LLC

Doing business as

Miami Vascular Specialists

Practice address

8950 N Kendall Dr
Suite 504W
Miami, FL 33176-2144

Phone

(305) 324-4840

Fax

(305) 545-9562

NPI assigned

May 31, 2005

Last updated

Jul 12, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sharlee Lebleu

Title

Vice President

Phone

(480) 321-7026

Specialties & licenses 1

Addresses

Other names 1

• Miami Vascular Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Radiology Associates of South Florida LLC

  • Diagnostic Radiology Physician
  • Longview, TX
  • NPI 1699759183

  Member Of

  NPD member

Locations

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abilio Armando Coello, M.D. FACS

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1720081037
  Medicare reassignment NPD
• Ian Del Conde Pozzi, M.D.

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1649309139
  Medicare reassignment NPD
• Howard E Katzman, M.D.

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1306849724
  Medicare reassignment NPD
• Young C Lee, M.D.

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1629431358
  Medicare reassignment NPD
• Ignacio Rua, M.D.

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1235132549
  Medicare reassignment NPD
• Anand Tarpara, M.D.

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1659717726

  Single Specialty

  Medicare reassignment NPD
• Michele Lynn Taubman, MD

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1477727360
  Medicare reassignment NPD
• Athanassios I Tsoukas, M.D., FACS

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1982607289
  Medicare reassignment NPD
• Libby Susan Watch, MD

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1831238864
  Medicare reassignment NPD
• Cielo Chavez, ARNP

  • Nurse Practitioner
  • Renton, WA
  • NPI 1780193656

  FL

  Medicare reassignment NPD
• Lorena Friedel Acra Bouchereau, PA-C

  • Physician Assistant
  • Miami, FL
  • NPI 1215704325
  Medicare reassignment
• Jaylene Azconegui, PA-C

  • Physician Assistant
  • Miami, FL
  • NPI 1275254427
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1861495293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201047",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753201047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "SUITE 504W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "305-324-4840",
            "fax_number": "305-545-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL GROUP OF MIAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "LEBLEU",
        "authorized_official_first_name": "SHARLEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-321-7026"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "AS4136633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Vascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Surgey Center of North Dade, LLC (Pinnacle Surgical Care Center)
• Surgi-Med and Technology Development LLC
• Surgical Group of Miami LLC (Miami Vascular Specialists)
• Surgical Group of Miami LLC (Miami Vascular Specialists)
• Surgical Group of Miami LLC (Miami Vascular Specialists)
• Surgical Innovations of Miami Inc
• Surgical Park Anesthesia Group PA
• Surgical Park Center LTD
• Surgical Spine Specialists LLC
• Surgiclear

• Vascular Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.