NPI | 1902838402 |
---|---|
Doing Business As | MARINER SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | GEORGE S SIDHOM Medical Director 352-688-6393 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1166) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2010-02-12 |