| Organization Name: | GLOBAL MICROSURGICAL CENTER OF PARK CITY,LLC |
| NPI Number: | 1093110850 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE MASSON (MANAGER) |
| Mailing Address: | 2706 Rew Cir Ste 100 Ocoee |
| State: | FL US |
| Postal Code: | 347614215 |
| Phone Number: | 4077185549 |
| Fax Number: | 4072648969 |
| NPI Enumeration Date: | 10/22/2014 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |