| Organization Name: | SOUTHERN DELAWARE SURGERY CENTER |
| NPI Number: | 1295725711 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTI POTTER (ADMINISTRATOR) |
| Mailing Address: | 18941 John J Williams Hwy Rehoboth Beach |
| State: | DE US |
| Postal Code: | 199714404 |
| Phone Number: | 3026446992 |
| Fax Number: | 3026446995 |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 06/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | FSSC-012 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |