Organization Name: | ST LUKES SURGICAL CENTER INC |
NPI Number: | 1043205040 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON DAVIS (BUSINESS OFFICE SUPERVISOR) |
Mailing Address: | 43309 Us Highway 19 N Tarpon Springs |
State: | FL US |
Postal Code: | 346896221 |
Phone Number: | 7279433111 |
Fax Number: | 7279433334 |
NPI Enumeration Date: | 09/15/2005 |
NPI Last Update Date: | 01/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |