| NPI | 1619049269 |
|---|---|
| Doing Business As | BRANDON OUTPATIENT SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | GEORGE S. SIDHOM Medical Director 813-731-0416 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1157) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-11-08 |