Lake Mary Surgery Center Llc in Lake Mary - Ambulatory Surgical
Lake Mary Surgery Center Llc - NPI 1174530752
Lake Mary Surgery Center Llc is a Ambulatory Surgical in Lake Mary, Florida. Lake Mary Surgery Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Lake Mary Surgery Center Llc is 1174530752. The last update date is 2023-02-21.
Lake Mary Surgery Center Llc's current location address is 460 Saint Charles Ct, Lake Mary, Florida. You can contact this provider via phone number 4075850260 and fax number 4075850264. The mailing address for Lake Mary Surgery Center Llc is 460 Saint Charles Ct, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Mary Surgery Center Llc |
|---|---|
| Address | 460 Saint Charles Ct, Lake Mary, Florida |
| Phone Number | 4075850260 |
| Fax Number | 4075850264 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER AN |
|---|---|
| Authorized Official Name | Baldock Boyd Jennifer |
| Telephone Number | 6152345954 |
NPI Number Detail
| NPI Number | 1174530752 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2023-02-21 |
Provider Mailing Address Detail
| Address | 460 Saint Charles Ct |
|---|---|
| City | Lake Mary |
| State | Florida (FL) |
| Post Code | 327462103 |
| Phone Number | 4075850260 |
| Fax Number | 4075850264 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 1204 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75897300 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lake Mary Surgery Center Llc by the Centers for Medicare & Medicaid Services?
The Lake Mary Surgery Center Llc has been assigned the NPI (National Provider Identifier) 1174530752. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lake Mary Surgery Center Llc?
The Lake Mary Surgery Center Llc is situated at 460 Saint Charles Ct, in the city of Lake Mary, state of FL, with the zip code 327462103.
What is Lake Mary Surgery Center Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lake Mary Surgery Center Llc's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174530752 to Lake Mary Surgery Center Llc?
The Centers for Medicare & Medicaid Services originally issued the 1174530752 to Lake Mary Surgery Center Llc on 2006-08-03.
As of what date was the information regarding Lake Mary Surgery Center Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lake Mary Surgery Center Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-02-21.