NPI | 1619979580 |
---|---|
Doing Business As | ADVENTHEALTH SURGERY CENTER PORT ORANGE |
Entity Type | Organization |
Authorized Contact | CORY DOMAYER CFO 386-843-3420 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1227) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2025-05-05 |