| Organization Name: | WINTER HAVEN-SEBRING FL OPHTHALMOLOGY ASC LLC |
| NPI Number: | 1043284508 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILLIP A CLENDENIN (PRESIDENT) |
| Mailing Address: | 5030 Us Highway 27 N Sebring |
| State: | FL US |
| Postal Code: | 338701354 |
| Phone Number: | 8633851074 |
| Fax Number: | 8633853743 |
| NPI Enumeration Date: | 02/13/2006 |
| NPI Last Update Date: | 04/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 1214 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |