NPI | 1285848572 |
---|---|
Doing Business As | SUNCOAST OUTPATIENT SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | EDWARD CARVALLO Medical Director 727-919-2395 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 879) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2010-01-05 |