Organization Name: | UNIVERSITY SURGERY CENTER LTD |
NPI Number: | 1003813221 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL ANNE CAVANAGH (ADMINISTRATOR) |
Mailing Address: | 7251 University Blvd Ste 100 Winter Park |
State: | FL US |
Postal Code: | 327928659 |
Phone Number: | 4076770066 |
Fax Number: | 4076774199 |
NPI Enumeration Date: | 07/01/2005 |
NPI Last Update Date: | 02/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |