| NPI | 1619979580 |
|---|---|
| Doing Business As | ADVENTHEALTH SURGERY CENTER PORT ORANGE |
| Entity Type | Organization |
| Authorized Contact | BRENDA ALICE PETERS Asc Administrator, Nursing Director 386-777-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1227) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2024-01-03 |