| Organization Name: | TLC ASC, LLC |
| NPI Number: | 1285815522 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL KYLE BURTNETT (SVP OF OSD TENET) |
| Mailing Address: | 201 West Guava Street Lady Lake |
| State: | FL US |
| Postal Code: | 32159 |
| Phone Number: | 3523915875 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2007 |
| NPI Last Update Date: | 08/13/2015 |
| 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: | |