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1205580875
GA SURGICALIST LLC
BROOKSVILLE, FL
NPI
1205580875
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Entity Type
Organization
Authorized Contact
MIT DESAI
Manager
813-530-5043
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2022-02-11
Last Update Date
2022-02-11
Business Address
GA SURGICALIST LLC
17222 HOSPITAL BLVD STE 116
BROOKSVILLE, FL 34601-8925
Phone number: 813-866-1959
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Mailing Address
GA SURGICALIST LLC
PO BOX 21647
TAMPA, FL 33622-1647
Phone number: 813-530-5043
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