Active NPI
Miami Beach Surgical Associates LLC
- Surgery Physician
- Miami Beach, FL
National Provider Identifier
1932429263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MIAMI BEACH SURGICAL ASSOCIATES LLC
- Practice address
- 4302 Alton Rd
Suite 630
Miami Beach, FL 33140-2891 - Phone
- (305) 673-2405
- Fax
- (954) 964-6084
- NPI assigned
- Jun 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irvin H Willis, MD
- Title
- Managing Partner
- Phone
- (305) 673-2405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
4302 Alton Rd
Suite 630
Miami Beach, FL 33140-2891
Mailing address
PO Box 816759
Hollywood, FL 33081-0759
Phone (305) 674-1233
National Provider Directory
National Provider DirectoryLocations
4302 Alton Rd
Ste 630
Miami Beach, FL 33140
Phone (305) 534-6050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Miami Beach, FL
- NPI 1063640688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276041600000",
"number": "1932429263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 816759",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330810759",
"telephone_number": "305-674-1233",
"fax_number": "954-964-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 ALTON RD",
"address_2": "SUITE 630",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402891",
"telephone_number": "305-673-2405",
"fax_number": "954-964-6084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI BEACH SURGICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-09",
"last_updated": "2010-06-09",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "IRVIN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "305-673-2405",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
- Miami Beach Plastic Surgery Center and Medspa, LLC
- Miami Beach Pulmonologists PA
- Miami Beach Specialty Physicians, LLC
- Miami Beach Surgery Center, LLC
- Miami Beach Surgical Assistants, Inc
- Miami Beach Therapy Center, Inc.
- Miami Beach TMS PLLC
- Miami Beach Urgent Care
- Miami Center for Advanced Cardiology LLC
- Miami Center for Advanced Cardiology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.