Suture Self LLC

NPI #1144526757 in Miami, Florida

Provider Information

NPI Number: 1144526757
Entity Type: Organization
Organization Name: Suture Self LLC
Primary Specialty: Specialist
Enumeration Date: Jan 28, 2011
Last Updated: Jan 28, 2011

Practice Location

Address: 8900 SW 117TH AVE
Address 2: SUITE B-104
City: Miami
State: Florida
ZIP Code: 33186-2175
Phone: (305) 279-0159

Authorized Official

Name: VIRGILIA GONZALEZ
Title: PRESIDENT
Phone: (305) 279-0159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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