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Organization
NEW VISION SURGICAL CENTER, LLC
Active
Organization
NEW VISION SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL VICTOR MINOTTY MD (MANAGER)
(772) 257-8700
Entity
Organization
Contact information
Practice address
1055 37TH PL, VERO BEACH, FL 32960-6551
(772) 257-8700
(772) 257-8715
Mailing address
1055 37TH PL, VERO BEACH, FL 32960-6551
(772) 257-8700
(772) 257-8715
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10C0001563
MEDICARE ASC IDENTIFICATION NUMBER
FL
Enumeration date
03/31/2011
Last updated
10/03/2011
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