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1134857501
SOUTHPORT SURGERY CENTER LLC
SOUTHPORT, CT
NPI
1134857501
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Entity Type
Organization
Authorized Contact
KEITH GIPSON
Manager
203-980-0368
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2022-08-12
Last Update Date
2022-08-12
Business Address
SOUTHPORT SURGERY CENTER LLC
2600 POST RD
SOUTHPORT, CT 06890-1258
Phone number: 203-980-0368
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Mailing Address
SOUTHPORT SURGERY CENTER LLC
2600 POST RD
SOUTHPORT, CT 06890-1258
Phone number: 203-980-0368
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