Organization Name: | ANDREWS INSTITUTE ASC LLC |
NPI Number: | 1104907328 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH L STORY (CHAIRMAN OF BOARD OF MANAGERS) |
Mailing Address: | 1040 Gulf Breeze Parkway Suite 100 Gulf Breeze |
State: | FL US |
Postal Code: | 32561 |
Phone Number: | 8509168500 |
Fax Number: | 8509168509 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |