Provider Demographics
NPI:1487804027
Name:MIAMI BEACH SURGICAL ASSISTANTS, INC
Entity type:Organization
Organization Name:MIAMI BEACH SURGICAL ASSISTANTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:PERAZA
Authorized Official - Suffix:
Authorized Official - Credentials:FMG
Authorized Official - Phone:305-989-5675
Mailing Address - Street 1:5835 SW 128TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5422
Mailing Address - Country:US
Mailing Address - Phone:305-408-4271
Mailing Address - Fax:
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2800
Practice Address - Country:US
Practice Address - Phone:305-408-4271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-19
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty