| NPI | 1508829011 |
|---|---|
| Doing Business As | BAYSHORE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DON LIEDTKE Vice President 615-344-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007306) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2007-10-22 |