| 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 |